Organization Active NPI

Ray of Hope, LLC

  • Home Health Agency
  • Midland, MI
National Provider Identifier
1396860771
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RAY OF HOPE, LLC
Practice address
2706 Ashman St
Midland, MI 48640-4407
Phone
(989) 633-3348
Fax
(989) 633-3358
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jewelie M Shukla, MEA
Title
Owner
Phone
(989) 633-3348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2706 Ashman St
Midland, MI 48640-4407

Mailing address

2706 Ashman St
Midland, MI 48640-4407
Phone (989) 687-2562

Other identifiers 1

IdentifierTypeStateIssuer
64736KOtherMIFINGERPRINITING ID

National Provider Directory

National Provider Directory

Locations

2706 Ashman St
Midland, MI 48640
Phone (989) 835-2200

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396860771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 ASHMAN ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404407",
            "telephone_number": "989-687-2562",
            "fax_number": "989-633-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2706 ASHMAN ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404407",
            "telephone_number": "989-633-3348",
            "fax_number": "989-633-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY OF HOPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHUKLA",
        "authorized_official_first_name": "JEWELIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-633-3348",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MEA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FINGERPRINITING ID",
            "identifier": "64736K",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.