North Woods Home Nursing

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

773515 Issued in MI

Legal business name

NORTH WOODS HOME NURSING

Practice address

226 S Cedar St
Manistique, MI 49854-1426

Phone

(906) 341-6963

Fax

(906) 341-2490

NPI assigned

Oct 2, 2007

Last updated

May 1, 2018By 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

Caleb Varoni

Title

Administrator

Phone

(906) 341-6963

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770770927. Details of each certification follow.

• CCN 231558 Hospice · Active · Details

Hospice certification: CCN 231558

Legal name

NORTH WOODS HOME NURSING

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 27, 1993

Last certification

Aug 27, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 12, 1990 in MI

Enrollment address

226 S Cedar Street
Manistique, MI 49854-0307

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• North Woods Home Nursing

  • Home Health Agency
  • Manistique, MI
  • NPI 1659379097

  7517096571

  Same PAC ID

Listed as

North Woods Home Nursing & HospiceCCN 231558 · All quality measures

Ownership

For-Profit

Certified

Jul 27, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

North Woods Home Nursing2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• North Woods Home Nursing

  • Home Health Agency
  • Manistique, MI
  • NPI 1659379097
  NPD tax ID

Locations

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Chelsea Elise Ray, MD

  • Family Medicine Physician
  • Munising, MI
  • NPI 1023370624

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Chelsea Elise Ray, MD

  • Family Medicine Physician
  • Munising, MI
  • NPI 1023370624

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1770770927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S CEDAR ST",
            "address_2": "P.O. BOX 307",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498541426",
            "telephone_number": "906-341-6963",
            "fax_number": "906-341-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S CEDAR ST",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498541426",
            "telephone_number": "906-341-6963",
            "fax_number": "906-341-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH WOODS HOME NURSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "VARONI",
        "authorized_official_first_name": "CALEB",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "906-341-6963"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": "773515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08754",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3042470",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Beginnings Outpatient Therapy, LLC
• John D Niemela, DPM
• Mary Noble, PA-C
• Linda Norlander
• North Woods Home Nursing
• Northern Comfort Specialized Care Inc.
• Ryan Timothy Pairolero, DPT
• Kelsey A Phillips
• William Walter Phillips, DO
• Laura L Pichette

• Community Based Hospice Care Agency in Manistique, MI
• Providers in Manistique, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.