Comforcare Senior Services - Grand Haven

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

COMFORCARE SENIOR SERVICES - GRAND HAVEN

Practice address

41 Washington Ave Ste 380
Grand Haven, MI 49417-3318

Phone

(616) 842-2618

NPI assigned

Aug 23, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Emma Jean Lyon, MHA

Title

President

Phone

(616) 402-9444

Specialties & licenses 1

Addresses

Other names 1

• Personalized Home Care, Inc Former legal business name

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1629384052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11852 JUNIPER HILLS CT",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494179367",
            "telephone_number": "616-842-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WASHINGTON AVE STE 380",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494173318",
            "telephone_number": "616-842-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORCARE SENIOR SERVICES - GRAND HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "EMMA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-402-9444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personalized Home Care, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• In Home Supportive Care Agency in Grand Haven, MI
• Providers in Grand Haven, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.