Roberta Jo Hartung

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AS230418724 Issued in MI

Practice address

1493 N Cochran Ave
Charlotte, MI 48813-9702

Phone

(517) 543-9626

Fax

(517) 543-3764

NPI assigned

Dec 4, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1841006855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10709 VANWERT RD",
            "city": "HOMER",
            "state": "MI",
            "postal_code": "492459308",
            "telephone_number": "517-667-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1493 N COCHRAN AVE",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488139702",
            "telephone_number": "517-543-9626",
            "fax_number": "517-543-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTUNG",
        "first_name": "ROBERTA",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-04",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS230418724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Hackbarth
• Debbie Haymowattee Hallak, DO
• Kassem Mahmoud Hallak, MD MS
• Heidi Hansen, D.C.
• Kathleen Anne Hartman-McCarthy, LCSW
• Benjamin Haskel, RPH
• Rebecca Sue Hawkins, MA, TLLP, CAADC
• Alissa Heiser
• Julia Mary Henderson, OTD, OTR/L
• Kelli Heyink, PT,DPT

• Adult Care Home Facility in Charlotte, MI
• Providers in Charlotte, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.