NPIMap

Organization Active NPI

Portage Health Inc

Doing business as Portage Health Home Care and Hospice

  • Home Health Agency
  • Hancock, MI
National Provider Identifier
1649316142
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PORTAGE HEALTH INC
Doing business as
Portage Health Home Care and Hospice
Practice address
500 Campus Dr
Hancock, MI 49930
Phone
(906) 483-1160
Fax
(906) 483-1167
NPI assigned
Jan 30, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
PORTAGE HEALTH INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Tamara Carroll
Title
Home Care and Hospice Director
Phone
(906) 483-1160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

500 Campus Dr
Hancock, MI 49930

Mailing address

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1160

Other names 1

  • Portage Health Home Care and Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Portage Hospital LLC8 organizations share this tax ID, including this one
Part of
Timothy Andress

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1649316142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CAMPUS DR",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "49930",
            "telephone_number": "906-483-1160",
            "fax_number": "906-483-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CAMPUS DR",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "49930",
            "telephone_number": "906-483-1160",
            "fax_number": "906-483-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PORTAGE HEALTH INC",
        "enumeration_date": "2007-01-30",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "HOME CARE AND HOSPICE DIRECTOR",
        "authorized_official_telephone_number": "906-483-1160"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portage Health Home Care and Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hancock, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.