Organization Active NPI

Sheridan Home Care

Doing business as ComForCare Home Care

  • Home Health Agency
  • Stanton, MI
National Provider Identifier
1861881039
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SHERIDAN HOME CARE
Doing business as
ComForCare Home Care
Practice address
312 E Main St
Stanton, MI 48888-8901
Phone
(989) 831-5000
Fax
(989) 831-5009
NPI assigned
Jan 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Authorized official

Name
Dr. Kenneth John Stol, M.DIV
Title
Vice President
Phone
(989) 831-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

312 E Main St
Stanton, MI 48888-8901

Mailing address

312 E Main St
Stanton, MI 48888-8901
Phone (989) 831-5000

Other identifiers 1

IdentifierTypeStateIssuer
25OtherMIHOME CARE

Other names 1

  • ComForCare Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comforcare Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

312 E Main St
Stanton, MI 48888
Phone (989) 831-5000

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": "1421020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1861881039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E MAIN ST",
            "city": "STANTON",
            "state": "MI",
            "postal_code": "488888901",
            "telephone_number": "989-831-5000",
            "fax_number": "989-831-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E MAIN ST",
            "city": "STANTON",
            "state": "MI",
            "postal_code": "488888901",
            "telephone_number": "989-831-5000",
            "fax_number": "989-831-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "STOL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "989-831-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.DIV"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE",
            "identifier": "25",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForCare Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stanton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.