Imperium Home Care,LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IMPERIUM HOME CARE,LLC

Practice address

1960 W Houghton Lake Dr Ste 4
Houghton Lake, MI 48629-9297

Phone

(989) 202-2789

NPI assigned

Feb 16, 2023

Last updated

Feb 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan Joseph Thomas

Title

Cfo & Co-Owner

Phone

(989) 202-2781

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1558069823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 E HURON ST",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351429",
            "telephone_number": "989-202-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 W HOUGHTON LAKE DR STE 4",
            "city": "HOUGHTON LAKE",
            "state": "MI",
            "postal_code": "486299297",
            "telephone_number": "989-202-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIUM HOME CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CFO & CO-OWNER",
        "authorized_official_telephone_number": "989-202-2781"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maria Kaniszewski
• Heather King
• Nicole Kowalewski, MSW
• Christine Margaret Lee, LBSW/QMRP/QMHP

• Home Health Agency in Houghton Lake, MI
• Providers in Houghton Lake, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.