Healthcare Coordinates LLC

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

4704107861 Issued in MI

Legal business name

HEALTHCARE COORDINATES LLC

Practice address

11461 Fredmar Dr
Interlochen, MI 49643-9523

Phone

(231) 590-8624

NPI assigned

Aug 5, 2013

Organization subpart

No

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

Authorized official

Name

Mary Pat Randall, RN

Title

Ceo

Phone

(231) 590-8624

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Pat S Randall, R.N.

  • Case Management Registered Nurse
  • Interlochen, MI
  • NPI 1164860771
  NPD (past)

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1477985240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 466",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496850466",
            "telephone_number": "231-590-8624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11461 FREDMAR DR",
            "city": "INTERLOCHEN",
            "state": "MI",
            "postal_code": "496439523",
            "telephone_number": "231-590-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE COORDINATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-590-8624",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": "MI",
            "license": "4704107861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Marie Gaden, M.A., L.P.C., N.C.C.
• Goodwill Optical Inc
• Ashley Marie Goss, FNP-C
• Danielle Lee Gray, RN
• Andrew J Gutzka
• William Hendershot, DDS
• Roberta L Herbst, PA-C
• Jeanette Theresa Huddleston, R.N.
• Interlochen Center for the Arts
• Aubrey Jabour

• Case Management Registered Nurse in Interlochen, MI
• Providers in Interlochen, MI by specialty
• Case Management Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.