Joan Bukowski – Home Health Aide in Midland, MI

Key facts

NPI: 1730907296
Entity type: Individual (NPI type 1)
Primary specialty: Home Health Aide 374U00000X
Practice address: 400 Wexford Ave
Midland, MI 48640-5681
Phone: (989) 631-9570
NPI assigned: Oct 2, 2024
Sex: Female
Sole proprietor: No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Arnold Center, Inc. Community/Behavioral Health Agency · Midland, MI · NPI 1649022682

NPD
Arnold Center, Inc. Community/Behavioral Health Agency · Midland, MI · NPI 1952678070

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Arnold Center, Inc.		Current since Oct 6, 2024	Accepting new patients
Arnold Center, Inc.		Past since Oct 6, 2024	Accepting new patients

Locations

400 Wexford Ave
Midland, MI 48640
Phone (989) 631-9570

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Aide	374U00000X			Yes

Addresses

Primary practice location

400 Wexford Ave
Midland, MI 48640-5681

Mailing address

400 Wexford Ave
Midland, MI 48640-5681
Phone (989) 631-9570

Other names

Joan Dellar Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 2, 2024.

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1730907296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WEXFORD AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405681",
            "telephone_number": "989-631-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WEXFORD AVE",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405681",
            "telephone_number": "989-631-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKOWSKI",
        "first_name": "JOAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "DELLAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland, MI

All providers in Midland, MI · Home Health Aide in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.