Ionia County Memorial Hospital Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IONIA COUNTY MEMORIAL HOSPITAL CORPORATION

Doing business as

Icmh Home Care

Practice address

525 Lafayette St
Ionia, MI 48846-1836

Phone

(616) 527-7060

Fax

(616) 527-5731

NPI assigned

Jun 26, 2006

Last updated

Jul 17, 2014By 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

William Roeser

Title

Chief Executive Officer

Phone

(616) 527-4200

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ICMH HOME CARE Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Ionia County Memorial Hospital

  dba FHC-Portland RHC

  • Rural Health Clinic/Center
  • Portland, MI
  • NPI 1609011923
  NPPES parent name

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1609803717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13008",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489013008",
            "telephone_number": "616-523-1400",
            "fax_number": "616-527-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 LAFAYETTE ST",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488461836",
            "telephone_number": "616-527-7060",
            "fax_number": "616-527-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IONIA COUNTY MEMORIAL HOSPITAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "ROESER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "616-527-4200"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153173015",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0E111",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICMH HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ionia County Community Mental Health
• Ionia County Community Mental Health
• Ionia County Community Mental Health
• Ionia County Health Department
• Ionia County Intermediate School District
• Ionia Dental, PLLC
• Ionia Dialysis LLC (Ionia Dialysis)
• Ionia Family Chiropractic PC
• Ionia Family Dentistry
• Ionia SNF, LLC (Illuminate HC Ionia)

• Home Health Agency in Ionia, MI
• Providers in Ionia, 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 17, 2014; 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.