Nadine Fish Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

NADINE FISH INC

Practice address

1601 W Centre Ave Lowr 105
Portage, MI 49024-6307

Phone

(269) 325-0000

Fax

(269) 985-0247

NPI assigned

Dec 8, 2008

Last updated

Mar 17, 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

Nadine Renee Fish, LMSW, CAADCNPI 1790097640

Title

President

Phone

(269) 325-0000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nadine Renee Fish, MSW

  • Social Worker
  • Benton Harbor, MI
  • NPI 1790097640
  NPD Authorized official

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

{
    "created_epoch": "1228694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1811132707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2816 WILLA DR",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490852555",
            "telephone_number": "269-325-0000",
            "fax_number": "269-985-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W CENTRE AVE LOWR 105",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490246307",
            "telephone_number": "269-325-0000",
            "fax_number": "269-985-0247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8175 Creekside Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490245370",
            "country_code": "US",
            "telephone_number": "269-375-5466",
            "fax_number": "269-985-1247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NADINE FISH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-08",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "NADINE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-325-0000",
        "authorized_official_credential": "LMSW, CAADC"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Portage, MI
• Providers in Portage, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.