NPIMap

Organization Active NPI

Comprehensive Senior Care Corporation

  • General Practice Physician
  • Battle Creek, MI
National Provider Identifier
1760645386
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
COMPREHENSIVE SENIOR CARE CORPORATION
Practice address
200 Michigan Ave W
Suite 103
Battle Creek, MI 49017-3607
Phone
(269) 441-9315
Fax
(269) 441-9329
NPI assigned
Jul 3, 2008
Organization subpart
Yes
Parent organization
COMPREHENSIVE SENIOR CARE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Alexandria Elizabeth Green Lueth
Title
Ceo
Phone
(269) 441-9332

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary
Federally Qualified Health Center (FQHC) 261QF0400X

Addresses

Primary practice location

200 Michigan Ave W
Suite 103
Battle Creek, MI 49017-3607

Mailing address

200 Michigan Ave W
Suite 103
Battle Creek, MI 49017-3607
Phone (269) 441-9315

Other names 1

  • CentraCare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Senior Care Corporation2 organizations share this tax ID, including this one
Part of
Comprehensive Senior Care Corporation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 Michigan Ave W
Ste 103
Battle Creek, MI 49017
Phone (269) 441-9300

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1760645386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MICHIGAN AVE W",
            "address_2": "SUITE 103",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173607",
            "telephone_number": "269-441-9315",
            "fax_number": "269-441-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MICHIGAN AVE W",
            "address_2": "SUITE 103",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173607",
            "telephone_number": "269-441-9315",
            "fax_number": "269-441-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE SENIOR CARE CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMPREHENSIVE SENIOR CARE CORPORATION",
        "enumeration_date": "2008-07-03",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "LUETH",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_middle_name": "ELIZABETH GREEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "269-441-9332"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CentraCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.

Verify at the official NPI Registry.