Clearwater Home Health Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CLEARWATER HOME HEALTH SERVICES LLC

Practice address

4765 Juniper Dr
Kewadin, MI 49648-9162

Phone

(231) 636-5901

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Christine Gaye Butler, RN

Title

Owner

Phone

2318666365901

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1457553141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4765 JUNIPER DR",
            "city": "KEWADIN",
            "state": "MI",
            "postal_code": "496489162",
            "telephone_number": "231-636-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 JUNIPER DR",
            "city": "KEWADIN",
            "state": "MI",
            "postal_code": "496489162",
            "telephone_number": "231-636-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWATER HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "GAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "2318666365901",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093814",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Lee Beebe
• Christine Berg, RN NP
• Marina Friend
• Gentle Hands Home Services, LLC
• Lisa Christie Keely
• Rebecca May Norris, M.D.
• Diantha Jeanne Soares, LPN

• Home Health Agency in Kewadin, MI
• Providers in Kewadin, 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 Aug 15, 2011; 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.