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
Organization subpart
No

Authorized official

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

Other NPIs on the same Medicare enrollment 3

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

Practitioners 26

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

View all 26

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…

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

154 S Ripley Blvd
Alpena, MI 49707
Phone (989) 356-6385

12519 State St
Atlanta, MI 49709
Phone (989) 785-2296

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

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

1691 E US 23
Ste 4
East Tawas, MI 48730
Phone (989) 362-2897

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

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

2090 W M 32
Ste B
Gaylord, MI 49735

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

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

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

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

205 Grove St
Mancelona, MI 49659
Phone (231) 587-5068

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

3440 W M 76
West Branch, MI 48661

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
20434OtherMIBCBS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 12, 2023.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "20434",
            "state": "MI"
        }
    ],
    "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.