NPIMap

Organization Active NPI

Catholic Human Services Inc.

  • Community/Behavioral Health Agency
  • Gaylord, MI
National Provider Identifier
1508060682
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
690008 Issued in MI
Legal business name
CATHOLIC HUMAN SERVICES INC.
Practice address
1165 Elkview Dr
Gaylord, MI 49735-2055
Phone
(989) 732-6761
Fax
(989) 732-6763
NPI assigned
Jun 13, 2007
Last updated
Dec 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
David R Martin
Title
Ceo
Phone
(231) 947-8110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 690008 MI Primary

Addresses

Primary practice location

1165 Elkview Dr
Gaylord, MI 49735-2055

Mailing address

829 W Main St Ste C3
Gaylord, MI 49735-1998
Phone (989) 732-6761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329000192 MI Part B Supplier - Clinic/Group Practice 4880586494 Receives reassigned benefits from 18 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Branch, MI; Traverse City, MI; Mio, MI; Manistee, MI; Mancelona, MI; Houghton Lake, MI; Gaylord, MI; East Tawas, MI…

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Catholic Human Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

140 W River St
Ste 7
Cadillac, MI 49601
Phone (231) 775-6581

12900 US Highway 31 N
Charlevoix, MI 49720
Phone (231) 237-0048

736 S Main St
Cheboygan, MI 49721
Phone (231) 627-9917

1864 E US 23
Ste C
East Tawas, MI 48730
Phone (989) 356-6385

1165 Elkview Dr
Gaylord, MI 49735
Phone (989) 732-1122

1165 Elkview Dr
Ste 3
Gaylord, MI 49735
Phone (800) 506-3602

2090 W M 32
Ste B
Gaylord, MI 49735

829 W Main St
Ste C3
Gaylord, MI 49735
Phone (989) 370-9129

707 Spruce St
Grayling, MI 49738
Phone (989) 348-3149

214 W Main St
Harrisville, MI 48740
Phone (989) 356-6385

320 S State St
Harrisville, MI 48740
Phone (989) 356-6385

438 County Road 612 NE
Kalkaska, MI 49646
Phone (231) 258-5565

585 S 3rd St
Rogers City, MI 49779
Phone (231) 734-7456

606 Lake St
Roscommon, MI 48653
Phone (989) 275-9955

1000 Hastings St
Traverse City, MI 49686
Phone (231) 947-8110

3440 W M 76
West Branch, MI 48661

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1508060682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 W MAIN ST STE C3",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351998",
            "telephone_number": "989-732-6761",
            "fax_number": "989-732-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 ELKVIEW DR",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497352055",
            "telephone_number": "989-732-6761",
            "fax_number": "989-732-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC HUMAN SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "231-947-8110"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "690008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.