Organization Active NPI

Homcare Inc.

  • Home Health Agency
  • Muskegon, MI
National Provider Identifier
1780686980
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2730885 Issued in MI
Legal business name
HOMCARE INC.
Practice address
875 W Summit Ave
Muskegon, MI 49441-4047
Phone
(231) 755-6951
Fax
(231) 755-4507
NPI assigned
Jun 1, 2005
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
Mrs. Stacey Renee Anderson, MSW
Title
C.O.O. /Treasurer
Phone
(231) 755-6951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2730885 MI Primary

Addresses

Primary practice location

875 W Summit Ave
Muskegon, MI 49441-4047

Mailing address

875 W Summit Ave
Muskegon, MI 49441-4047
Phone (231) 755-6951

Other identifiers 1

IdentifierTypeStateIssuer
2730885MedicaidMI

National Provider Directory

National Provider Directory

Locations

875 W Summit Ave
Muskegon, MI 49441
Phone (231) 755-6951

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780686980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 W SUMMIT AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494414047",
            "telephone_number": "231-755-6951",
            "fax_number": "231-755-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 W SUMMIT AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494414047",
            "telephone_number": "231-755-6951",
            "fax_number": "231-755-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "C.O.O. /TREASURER",
        "authorized_official_telephone_number": "231-755-6951",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "2730885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2730885",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.