Active NPI
Diane Elane Corcoran
- Home Modifications Contractor
- Montrose, MI
National Provider Identifier
1497077051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 2101054404
- Practice address
- 9288 Seymour Rd
Montrose, MI 48457-9122 - Phone
- (810) 639-2222
- Fax
- (810) 639-2233
- NPI assigned
- Feb 24, 2010
- Last updated
- Feb 24, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 2101054404 | MI | Primary |
Addresses
Primary practice location
9288 Seymour Rd
Montrose, MI 48457-9122
Mailing address
9288 Seymour Rd
Montrose, MI 48457-9122
Phone (810) 639-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2101054404 | MI | MD | Home Modifications Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vets Acces, LLC. | Past | Accepting new patients | |
| Vets Access Ramps LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Montrose, MI
- NPI 1265785877
-
- Durable Medical Equipment & Medical Supplies
- Montrose, MI
- NPI 1174812895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266969600000",
"number": "1497077051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9288 SEYMOUR RD",
"city": "MONTROSE",
"state": "MI",
"postal_code": "484579122",
"telephone_number": "810-639-2222",
"fax_number": "810-639-2233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9288 SEYMOUR RD",
"city": "MONTROSE",
"state": "MI",
"postal_code": "484579122",
"telephone_number": "810-639-2222",
"fax_number": "810-639-2233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORCORAN",
"first_name": "DIANE",
"middle_name": "ELANE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-24",
"last_updated": "2010-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "MI",
"license": "2101054404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montrose, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.