Organization Active NPI

Lakeland Hospital at Niles and St Joseph, Inc

  • Community Based Hospice Care Agency
  • Benton Harbor, MI
National Provider Identifier
1861556722
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
118635 Issued in MI
Legal business name
LAKELAND HOSPITAL AT NILES AND ST JOSEPH, INC
Practice address
2550 Meadowbrook Rd
Suite 110
Benton Harbor, MI 49022-9609
Phone
(269) 985-4401
Fax
(269) 985-4401
NPI assigned
Dec 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Mr. Tim Calhoun
Title
Cfo VP of Finance
Phone
(269) 983-8398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 118635 MI Primary

Addresses

Primary practice location

2550 Meadowbrook Rd
Suite 110
Benton Harbor, MI 49022-9609

Mailing address

PO Box 813
Saint Joseph, MI 49085-0813
Phone (269) 428-2574

Other names 1

  • Lakeland Hospice Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1861556722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 813",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490850813",
            "telephone_number": "269-428-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MEADOWBROOK RD",
            "address_2": "SUITE 110",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490229609",
            "telephone_number": "269-985-4401",
            "fax_number": "269-985-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND HOSPITAL AT NILES AND ST JOSEPH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "CALHOUN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CFO VP OF FINANCE",
        "authorized_official_telephone_number": "269-983-8398",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": "118635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton Harbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.