Michelle Hanson

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AF390379270 Issued in MI

Legal business name

MICHELLE HANSON

Practice address

807 Witters CT
Portage, MI 49024-6116

Phone

(269) 323-9745

NPI assigned

Nov 1, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michelle Jean Hanson

Title

Owner Operator

Phone

(269) 323-9745

Specialties & licenses 1

Addresses

Other names 1

• Sugarloaf Manor Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1386196806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 WITTERS CT",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490246116",
            "telephone_number": "269-323-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 WITTERS CT",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490246116",
            "telephone_number": "269-323-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE HANSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-01",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "269-323-9745"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AF390379270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sugarloaf Manor",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Denise Lynn Meyer, PHARMD
• Timothy Meyer, LMSW
• Kimberly Meyers, PT
• Sabbir Miah, RPH
• Michael V Bloom PHD LLC
• Michigan Integrated Therapies
• Michigan Integrated Therapies
• Michigan Senior Care Inc.
• Mid Michigan Home Visiting Doctors LLC
• Mid-America Psychological Services, P. C.

• Adult Care Home Facility in Portage, MI
• Providers in Portage, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.