The Council on Aging, Inc., Serving St. Clair County

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

THE COUNCIL ON AGING, INC., SERVING ST. CLAIR COUNTY

Practice address

600 Grand River Ave
Port Huron, MI 48060-3817

Phone

(810) 987-8811

NPI assigned

May 13, 2020

Organization subpart

No

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

Authorized official

Name

Scott Crawford

Title

Executive Director

Phone

(810) 987-8811

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1689296550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRAND RIVER AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603817",
            "telephone_number": "810-987-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRAND RIVER AVE",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603817",
            "telephone_number": "810-987-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COUNCIL ON AGING, INC., SERVING ST. CLAIR COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "810-987-8811"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary Lyn Tesluck
• Lisa Thacker
• Shawn Lamont Thacker
• Mina Thammavongsa
• The Arc of St. Clair County
• Marinus A Thoen
• Brittney Thomas
• Kelly Thomas, MSN, AGPCNP-C
• Kimberly Sue Thomas, PRC
• Robert P Thomas, DC

• In Home Supportive Care Agency in Port Huron, MI
• Providers in Port Huron, 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 May 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.