Organization Active NPI

Pam and a Bucket LLC

  • Home Health Agency
  • Muskegon, MI
National Provider Identifier
1699482836
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PAM AND A BUCKET LLC
Practice address
434 Leonard Ave
Muskegon, MI 49442-1217
Phone
(616) 516-4481
NPI assigned
Oct 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Mrs. Pamela S Hoover
Title
Owner-Operator
Phone
(616) 516-4481

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

434 Leonard Ave
Muskegon, MI 49442-1217

Mailing address

434 Leonard Ave
Muskegon, MI 49442-1217
Phone (616) 516-4481

Other identifiers 1

IdentifierTypeStateIssuer
CV0053692MedicaidMI

Other names 2

  • Great Age Services Doing business as
  • Tier One Cleaning Solutions 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": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1699482836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 LEONARD AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494421217",
            "telephone_number": "616-516-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 LEONARD AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494421217",
            "telephone_number": "616-516-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAM AND A BUCKET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER-OPERATOR",
        "authorized_official_telephone_number": "616-516-4481",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CV0053692",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Age Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tier One Cleaning Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.