Wexford County Council on Aging

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

WEXFORD COUNTY COUNCIL ON AGING

Practice address

714 W. 13TH St.
Cadillac, MI 49601-9618

Phone

(231) 775-0133

Fax

(231) 775-9833

NPI assigned

Oct 2, 2006

Last updated

Mar 30, 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

Mrs. Pam B Blevins

Title

Executive Director Non-Profit 5013

Phone

(231) 775-0133

Specialties & licenses 6

Addresses

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1639262306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W. CASS STREET",
            "city": "CADILLAC",
            "state": "ID",
            "postal_code": "49601",
            "telephone_number": "231-775-0133",
            "fax_number": "231-775-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W. 13TH ST.",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496019618",
            "telephone_number": "231-775-0133",
            "fax_number": "231-775-9833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEXFORD COUNTY COUNCIL ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "BLEVINS",
        "authorized_official_first_name": "PAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR NON-PROFIT 5013",
        "authorized_official_telephone_number": "231-775-0133",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassady Marlene Welch
• Thomas Neil Welsh
• Kaylee Rae Westdorp
• Sarah Elizabeth Westman
• Nichole Wetzig, BEHAVIOR TECHNICIAN
• Wexford Medical Group (Great Lakes Family Care)
• Wexford Medical Group
• Wexford Medical Group (Great Lakes Family Care)
• Wexford Medical Group (Great Lakes Family Care)
• Wexford Mercy Pho

• Home Health Agency in Cadillac, MI
• Providers in Cadillac, 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 Mar 30, 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.