NPIMap

Organization Active NPI

Community Home Health Care of Michigan, Inc.

  • Home Health Agency
  • White Cloud, MI
National Provider Identifier
1780638734
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMMUNITY HOME HEALTH CARE OF MICHIGAN, INC.
Practice address
175 S Gibbs St
White Cloud, MI 49349-9401
Phone
(231) 689-6675
Fax
(231) 689-5038
NPI assigned
May 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Aaron Leestma
Title
Administrator
Phone
(231) 689-6675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MI Primary

Addresses

Primary practice location

175 S Gibbs St
White Cloud, MI 49349-9401

Mailing address

175 S Gibbs St
White Cloud, MI 49349-9401
Phone (231) 689-6675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060710000312 MI Part A Provider - Home Health Agency 1658384870 Practice locations: Newaygo, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780638734. Details of each certification follow.

Home health agency certification: CCN 237035

Legal name
COMMUNITY HOME HEALTH CARE OF MICHIGAN, INC.
Doing business as
COMMUNITY HOME CARE SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 20, 1966
Last certification
May 15, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 25, 1997 in MI
Enrollment address
183 W River Valley Dr
Newaygo, MI 49337-9330

Care Compare: Home health agency

Medicare Care Compare
Listed as
Community Home Care ServicesCCN 237035 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Sep 20, 1966
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0982905Community Home Health Care Services183 West River Valley Dr, Newaygo, MI 49337Certificate of waiverFeb 7, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
The Homecare Group LLC Organization, Cortez, FL LLC Operational/Managerial Control Sep 6, 2018
Isaac J Leestma Individual Corporate OfficerCoo Nov 21, 2021
Operational/Managerial ControlCoo Nov 21, 2021
Marc S Leestma Individual Contracted Managing EmployeeFinancial Manager Apr 26, 2006
Operational/Managerial ControlFinancial Manager Apr 26, 2006
Jennifer E Leestma Individual W-2 Managing EmployeeDon Jan 1, 2024
Operational/Managerial ControlDon Jan 1, 2024
Shannon Grabe Individual W-2 Managing EmployeeAdministrator Nov 11, 2019
Operational/Managerial ControlAdminsitrator Nov 11, 2019
Ruth E Leestma Individual 5% Or Greater Direct Ownership InterestOwner Mar 1, 2006 100%
Corporate OfficerCeo/Board Member Mar 1, 2006
Corporate DirectorCeo/Board Member Mar 1, 2006
Operational/Managerial ControlCeo/Board Member Mar 1, 2006

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 7

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

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780638734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S GIBBS ST",
            "city": "WHITE CLOUD",
            "state": "MI",
            "postal_code": "493499401",
            "telephone_number": "231-689-6675",
            "fax_number": "231-689-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S GIBBS ST",
            "city": "WHITE CLOUD",
            "state": "MI",
            "postal_code": "493499401",
            "telephone_number": "231-689-6675",
            "fax_number": "231-689-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOME HEALTH CARE OF MICHIGAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEESTMA",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "231-689-6675",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Cloud, MI

Sources for this page

Verify at the official NPI Registry.