Active NPI
Pennock Hospital
- Home Health Agency
- Hastings, MI
National Provider Identifier
1538101977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PENNOCK HOSPITAL
- Doing business as
- Pennock Homecare Services
- Practice address
- 1009 W Green St
Hastings, MI 49058-1710 - Phone
- (269) 945-1212
- Fax
- (269) 948-3117
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheryl L Lewis-Blake
- Title
- President
- Phone
- (269) 948-3123
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1009 W Green St
Hastings, MI 49058-1710
Mailing address
1009 W Green St
Hastings, MI 49058-1710
Phone (269) 945-1212
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3332247 | Medicaid | MI | |
| OE155 | Other | MI | BCBS PROVIDER NUMBER |
Other names 1
- Pennock Homecare Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461715200000",
"number": "1538101977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 W GREEN ST",
"city": "HASTINGS",
"state": "MI",
"postal_code": "490581710",
"telephone_number": "269-945-1212",
"fax_number": "269-948-3117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 W GREEN ST",
"city": "HASTINGS",
"state": "MI",
"postal_code": "490581710",
"telephone_number": "269-945-1212",
"fax_number": "269-948-3117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PENNOCK HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2016-04-27",
"status": "A",
"authorized_official_last_name": "LEWIS-BLAKE",
"authorized_official_first_name": "SHERYL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "269-948-3123"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3332247",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "OE155",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Pennock Homecare Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hastings, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.