Organization Active NPI

Portage Health Inc

Doing business as Portage Health Home Care & Hospice

  • Community Based Hospice Care Agency
  • Hancock, MI
National Provider Identifier
1730202276
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PORTAGE HEALTH INC
Doing business as
Portage Health Home Care & Hospice
Practice address
500 Campus Dr
Hancock, MI 49930-1569
Phone
(906) 483-1160
Fax
(906) 483-1167
NPI assigned
Apr 9, 2007
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
PORTAGE HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Leah Kinnunen, RN
Title
Hospice Coordinator
Phone
(906) 483-1160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

500 Campus Dr
Hancock, MI 49930-1569

Mailing address

500 Campus Dr
Hancock, MI 49930-1569
Phone (906) 483-1160

Other names 1

  • Portage Health Home Care & Hospice Doing business as

National Provider Directory

National Provider Directory
Part of
Timothy Andress

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1550 W Quincy St
Hancock, MI 49930
Phone (906) 482-3621

520 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

821 W Water St
Hancock, MI 49930
Phone (906) 482-6700

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1730202276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CAMPUS DR",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301569",
            "telephone_number": "906-483-1160",
            "fax_number": "906-483-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CAMPUS DR",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301569",
            "telephone_number": "906-483-1160",
            "fax_number": "906-483-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTAGE HEALTH INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PORTAGE HEALTH",
        "enumeration_date": "2007-04-09",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "KINNUNEN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "HOSPICE COORDINATOR",
        "authorized_official_telephone_number": "906-483-1160",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Portage Health Home Care & Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hancock, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.