Organization Active NPI

Your Community Above and Beyond Home Health Care

  • In Home Supportive Care Agency
  • Kalkaska, MI
National Provider Identifier
1578886057
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
YOUR COMMUNITY ABOVE AND BEYOND HOME HEALTH CARE
Practice address
303 Cedar Street
Kalkaska, MI 49646
Phone
(866) 808-2797
Fax
(231) 258-4813
NPI assigned
Mar 11, 2010
Last updated
Mar 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Ms. Carole Eileen Chisholm
Title
Administration
Phone
(866) 808-2797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

303 Cedar Street
Kalkaska, MI 49646

Mailing address

PO Box 1555
Kalkaska, MI 49646-1555
Phone (866) 808-2797

Other identifiers 1

IdentifierTypeStateIssuer
4607540MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1578886057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1555",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496461555",
            "telephone_number": "866-808-2797",
            "fax_number": "231-258-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 CEDAR STREET",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "49646",
            "telephone_number": "866-808-2797",
            "fax_number": "231-258-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR COMMUNITY ABOVE AND BEYOND HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "866-808-2797",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4607540",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalkaska, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.