Organization Active NPI

Ag Health LLC

  • Assisted Living Facility
  • Portage, MI
National Provider Identifier
1477375756
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AG HEALTH LLC
Practice address
7617 Sandyridge St
Portage, MI 49024-5027
Phone
(517) 894-3372
NPI assigned
Oct 29, 2024
Last updated
Dec 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Georgina Ann Adatsi, MPH
Title
Owner
Phone
(517) 894-3372

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary
Alzheimer Center (Dementia Center) 311500000X NU
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

7617 Sandyridge St
Portage, MI 49024-5027

Mailing address

7617 Sandyridge St
Portage, MI 49024-5027
Phone (517) 894-3372

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1477375756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7617 SANDYRIDGE ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245027",
            "telephone_number": "517-894-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7617 SANDYRIDGE ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490245027",
            "telephone_number": "517-894-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "ADATSI",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-894-3372",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.