Wimms Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

12-305 Issued in MI

Legal business name

WIMMS HEALTH CARE

Practice address

5385 Woodside Park Rd
Indian River, MI 49749-9740

Phone

(231) 268-8832

NPI assigned

Oct 9, 2012

Organization subpart

Yes

Parent organization

DESIGN PROZ LLCAs reported in NPPES

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

Authorized official

Name

Mr. Geoff Chevalier

Title

Owner

Phone

(231) 268-8832

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Wimms Health Care

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1396097705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 WOODSIDE PARK RD",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497499740",
            "telephone_number": "231-268-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5385 WOODSIDE PARK RD",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497499740",
            "telephone_number": "231-268-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIMMS HEALTH CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESIGN PROZ LLC",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "CHEVALIER",
        "authorized_official_first_name": "GEOFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-268-8832",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "12-305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092644",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Vanos, DO
• Michael Louis Wetmore
• Susan Markey Whitener, MA LPC
• Tara Lee Williams
• Paula Marie Wilson, LPC
• Xcel Physical Therapy, PLC
• Tom Zoyiopoulos

• Home Health Agency in Indian River, MI
• Providers in Indian River, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.