Community AIDS Resource and Education Services of Southwest Michigan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

COMMUNITY AIDS RESOURCE AND EDUCATION SERVICES OF SOUTHWEST MICHIGAN

Practice address

629 Pioneer St
Kalamazoo, MI 49008-1860

Phone

(269) 381-2437

Fax

(269) 381-4050

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Kelly A Doyle

Title

Ceo

Phone

(269) 381-2437

Specialties & licenses 2

Addresses

Other names 1

• Pioneer Wellness Network Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 4

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

• Vanessa R Stadel, NP

  • Family Nurse Practitioner
  • Kalamazoo, MI
  • NPI 1154088904
  Medicare reassignment NPD
• Paulette Levy Banghart, LMSW

  • Clinical Social Worker
  • Kalamazoo, MI
  • NPI 1831398379
  NPD (past)
• Love A-Burkett Chambers, RN

  • Registered Nurse
  • Kalamazoo, MI
  • NPI 1710803572
  NPD (past)
• Joseph Anthony Nuncio, AGNP, NP-C

  • Primary Care Nurse Practitioner
  • Kalamazoo, MI
  • NPI 1316411333
  NPD (past)

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1851590855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 PIONEER ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081860",
            "telephone_number": "269-381-2437",
            "fax_number": "269-381-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 PIONEER ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081860",
            "telephone_number": "269-381-2437",
            "fax_number": "269-381-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY AIDS RESOURCE AND EDUCATION SERVICES OF SOUTHWEST MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "269-381-2437",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Wellness Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Comar
• Breanna Beth Combest, LLMSW
• Alicia M Combs, DC
• Comfort Living Home Care L.L.C.
• Comfort Living Home L.L.C
• Community Healing Center
• Community Healing Centers
• Community Healing Centers
• Community Healing Centers
• Community Living Options

• Clinical Social Worker in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.