NPIMap

Organization Active NPI

Memorial Medical Center of West Michigan

Doing business as Spectrum Health Ludington Home Care

  • Home Health Agency
  • Ludington, MI
National Provider Identifier
1689650160
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
538611 Issued in MI
Legal business name
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
Doing business as
Spectrum Health Ludington Home Care
Practice address
1N Atkinson Dr
Ludington, MI 49431-1906
Phone
(231) 845-2270
Fax
(231) 845-2259
NPI assigned
Dec 16, 2005
Last updated
Jul 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Kerri Nelson
Title
VP Finance
Phone
(231) 845-2251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 538611 MI Primary

Addresses

Primary practice location

1N Atkinson Dr
Ludington, MI 49431-1906

Mailing address

1 N Atkinson Dr
Ludington, MI 49431-1906
Phone (231) 845-2270

Other identifiers 1

IdentifierTypeStateIssuer
2677634MedicaidMI

Other names 1

  • Spectrum Health Ludington Home Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1689650160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N ATKINSON DR",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311906",
            "telephone_number": "231-845-2270",
            "fax_number": "231-845-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1N ATKINSON DR",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311906",
            "telephone_number": "231-845-2270",
            "fax_number": "231-845-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL MEDICAL CENTER OF WEST MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "231-845-2251"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "538611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2677634",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Health Ludington Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ludington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.