Organization Active NPI

Sparrow Eaton Hospital

  • Home Health Registered Nurse
  • Charlotte, MI
National Provider Identifier
1659347573
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
230020 Issued in MI
Legal business name
SPARROW EATON HOSPITAL
Doing business as
Sparrow Eaton Hospital
Practice address
111 Lansing St
Charlotte, MI 48813-2400
Phone
(517) 543-4182
Fax
(517) 543-4909
NPI assigned
Feb 28, 2006
Last updated
Feb 13, 2020By the provider in NPPES
Organization subpart
No

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
Kim Capps
Title
Chief Financial Officer
Phone
(517) 543-1050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 230020 MI Primary

Addresses

Primary practice location

111 Lansing St
Charlotte, MI 48813-2400

Mailing address

321 E Harris St
Charlotte, MI 48813-1629
Phone (517) 543-4182

Other identifiers 1

IdentifierTypeStateIssuer
4095586MedicaidMI

Other names 3

  • Sparrow Eaton Hospital Doing business as
  • Hayes Green Beach Memorial Hospital Former legal business name
  • Hayes Green Beach Homecare Other name

National Provider Directory

National Provider Directory

Locations

111 Lansing St
Charlotte, MI 48813
Phone (517) 543-4182

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581552000000",
    "number": "1659347573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 E HARRIS ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488131629",
            "telephone_number": "517-543-4182",
            "fax_number": "517-543-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LANSING ST",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488132400",
            "telephone_number": "517-543-4182",
            "fax_number": "517-543-4909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW EATON HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-28",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A",
        "authorized_official_last_name": "CAPPS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "517-543-1050"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MI",
            "license": "230020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4095586",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparrow Eaton Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sparrow Eaton Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hayes Green Beach Memorial Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Hayes Green Beach Homecare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlotte, 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.