NPIMap

Organization Active NPI

Three Rivers Health Authority

Doing business as Three Rivers Health Homecare

  • Home Health Agency
  • Three Rivers, MI
National Provider Identifier
1780659565
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
750020 Issued in MI
Legal business name
THREE RIVERS HEALTH AUTHORITY
Doing business as
Three Rivers Health Homecare
Practice address
633 S Erie St
Three Rivers, MI 49093-2073
Phone
(269) 278-6108
Fax
(269) 273-4316
NPI assigned
Feb 23, 2006
Last updated
May 10, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
THREE RIVERS AREA HOSPITAL HOSPICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Authorized official

Name
Mr. William Russell, CEO
Title
President
Phone
(269) 273-9601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 750020 MI Primary

Addresses

Primary practice location

633 S Erie St
Three Rivers, MI 49093-2073

Mailing address

633 S Erie St
Three Rivers, MI 49093-2073
Phone (269) 278-6108

Other identifiers 2

IdentifierTypeStateIssuer
3209735-15MedicaidMI
0E113OtherMIBCBS

Other names 1

  • Three Rivers Health Homecare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Three Rivers Inc26 organizations share this tax ID, including this one
Part of
Three Rivers Area Hospital Hospice

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1780659565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 S ERIE ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490932073",
            "telephone_number": "269-278-6108",
            "fax_number": "269-273-4316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 S ERIE ST",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490932073",
            "telephone_number": "269-278-6108",
            "fax_number": "269-273-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE RIVERS HEALTH AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THREE RIVERS AREA HOSPITAL HOSPICE",
        "enumeration_date": "2006-02-23",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-273-9601",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "750020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3209735-15",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0E113",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Rivers Health Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Three Rivers, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.