NPIMap

Organization Active NPI

Sheridan Home Care

Doing business as ComForCare Home Care

  • In Home Supportive Care Agency
  • Stanton, MI
National Provider Identifier
1497375448
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SHERIDAN HOME CARE
Doing business as
ComForCare Home Care
Practice address
129 E. Main St
Stanton, MI 48888-9998
Phone
(989) 831-5000
Fax
(989) 831-5009
NPI assigned
Apr 20, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Dr. Kenneth John Stoll, PH D
Title
Vice President
Phone
(989) 831-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

129 E. Main St
Stanton, MI 48888-9998

Mailing address

129 E. Main St
Stanton, MI 48888-9998
Phone (989) 831-5000

Other names 1

  • ComForCare Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comforcare Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1497375448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 E. MAIN ST",
            "city": "STANTON",
            "state": "MI",
            "postal_code": "488889998",
            "telephone_number": "989-831-5000",
            "fax_number": "989-831-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 E. MAIN ST",
            "city": "STANTON",
            "state": "MI",
            "postal_code": "488889998",
            "telephone_number": "989-831-5000",
            "fax_number": "989-831-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "STOLL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "989-831-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForCare Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stanton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.