Keweenaw Home Nursing, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KEWEENAW HOME NURSING, INC.

Doing business as

Keweenaw Home Nursing & Hospice

Practice address

311 6TH St
Calumet, MI 49913-1507

Phone

(906) 337-5700

Fax

(906) 337-9929

NPI assigned

May 30, 2006

Last updated

Jul 10, 2009By 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

Wanda M Kolb, RN

Title

Administrator

Phone

(906) 337-5700

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Keweenaw Home Nursing & Hospice Doing business as

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1568419927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 6TH ST",
            "city": "CALUMET",
            "state": "MI",
            "postal_code": "499131507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 6TH ST",
            "city": "CALUMET",
            "state": "MI",
            "postal_code": "499131507",
            "telephone_number": "906-337-5700",
            "fax_number": "906-337-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEWEENAW HOME NURSING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "KOLB",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "906-337-5700",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM HOME HEALTH",
            "identifier": "0E872",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2598011",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keweenaw Home Nursing & Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jill Kalcich, M.D.
• Charles Kemppainen, LMT
• Kelly L Kesti, O.D.
• Keweenaw Holistic Family Medicine, PC
• Keweenaw Home Nursing, Inc. (Keweenaw Home Nursing & Hospice)
• Wanda Joan Kiiskila, M.A., CCC- SLP
• Nicole L'Esperance, LMT
• Christopher Raymond Lacasse, CHW
• Jessica Lacy, PT, DPT
• Caden Laidlaw

• Home Health Agency in Calumet, MI
• Providers in Calumet, 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 Jul 10, 2009; 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.