Northern Michigan Home Health Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

4704158708 Issued in MI

Legal business name

NORTHERN MICHIGAN HOME HEALTH INC

Practice address

W8065 US 2/141
Suite E
Iron Mountain, MI 49801-9494

Phone

(906) 774-4712

Fax

(906) 774-4713

NPI assigned

Jan 13, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Tylee Rose Declark

Title

President

Phone

(906) 774-4712

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1700157369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W8065 S. US2/141",
            "address_2": "SUITE E",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "49801",
            "telephone_number": "906-774-4712",
            "fax_number": "906-774-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W8065 US 2/141",
            "address_2": "SUITE E",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498019494",
            "telephone_number": "906-774-4712",
            "fax_number": "906-774-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN MICHIGAN HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "DECLARK",
        "authorized_official_first_name": "TYLEE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "906-774-4712",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "4704158708",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WI",
            "license": "3477-31",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Sue Nordstrom, RPH
• Dakota Norman, CRNA
• Northern Eye Care Associates, P.C.
• Northern Eye Care Associates, P.C.
• Northern Lights Compounding Inc.
• Northern Optical, Inc.
• Northern Orthotics & Prosthetics
• Northern Pathology Laboratory, P.C.
• Northwoods Imaging Associates PC
• John E. Nowicki, D.C.

• Home Health Agency in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.