Organization Active NPI

Hillsdale Community Health Center

  • Home Health Agency
  • Hillsdale, MI
National Provider Identifier
1659317550
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HILLSDALE COMMUNITY HEALTH CENTER
Practice address
49 E Carleton Rd
Hillsdale, MI 49242-1619
Phone
(517) 439-5740
Fax
(517) 439-5735
NPI assigned
Jun 21, 2006
Organization subpart
Yes
Parent organization
HILLSDALE COMMUNITY HOME CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Authorized official

Name
Mr. Mark Gross
Title
Cfo
Phone
(517) 437-5232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

49 E Carleton Rd
Hillsdale, MI 49242-1619

Mailing address

49 E Carleton Rd
Hillsdale, MI 49242-1619
Phone (517) 439-5740

Other identifiers 2

IdentifierTypeStateIssuer
OE140OtherMIBLUE CROSS
3326150MedicaidMI

National Provider Directory

National Provider Directory
Part of
Hillsdale Community HLT

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1659317550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 E CARLETON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421619",
            "telephone_number": "517-439-5740",
            "fax_number": "517-439-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 E CARLETON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421619",
            "telephone_number": "517-439-5740",
            "fax_number": "517-439-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSDALE COMMUNITY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HILLSDALE COMMUNITY HOME CARE",
        "enumeration_date": "2006-06-21",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "517-437-5232",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "OE140",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3326150",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.