Fish Tales, Inc

Primary specialty

Respite Care CampTaxonomy code 385HR2050X

Legal business name

FISH TALES, INC

Doing business as

Camp Fish Tales

Practice address

2177 E Erickson Rd
Pinconning, MI 48650-9419

Phone

(989) 879-5199

Fax

(989) 879-5005

NPI assigned

Jan 5, 2021

Last updated

Jan 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shannon Forshee

Title

Executive Director

Phone

(989) 879-5199

Specialties & licenses 1

Addresses

Other names 1

• Camp Fish Tales Doing business as

Locations

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1730777897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 E ERICKSON RD",
            "city": "PINCONNING",
            "state": "MI",
            "postal_code": "486509419",
            "telephone_number": "989-879-5199",
            "fax_number": "989-879-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 E ERICKSON RD",
            "city": "PINCONNING",
            "state": "MI",
            "postal_code": "486509419",
            "telephone_number": "989-879-5199",
            "fax_number": "989-879-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISH TALES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "FORSHEE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "989-879-5199",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camp Fish Tales",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Respite Care in Pinconning, MI
• Providers in Pinconning, MI by specialty
• Respite Care in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.