Active NPI
John Channing
- Home Health Aide
- Saint Clair Shores, MI
National Provider Identifier
1720516156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 22811 Greater Mack Ave Ste 109
Saint Clair Shores, MI 48080-2053 - Phone
- (586) 279-3610
- NPI assigned
- May 30, 2017
- Last updated
- May 30, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NU | Primary |
Addresses
Primary practice location
22811 Greater Mack Ave Ste 109
Saint Clair Shores, MI 48080-2053
Mailing address
10822 Sparkling Waters CT
South Lyon, MI 48178-9494
Phone (248) 756-2859
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Channing Enterprises, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba BrightStar Care of Grosse Pointe/Southeast Macomb
- Home Health Agency
- Saint Clair Shores, MI
- NPI 1588182091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496102400000",
"number": "1720516156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10822 SPARKLING WATERS CT",
"city": "SOUTH LYON",
"state": "MI",
"postal_code": "481789494",
"telephone_number": "248-756-2859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22811 GREATER MACK AVE STE 109",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480802053",
"telephone_number": "586-279-3610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANNING",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-30",
"last_updated": "2017-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.