Active NPI
Sheridan Home Care
Doing business as ComForCare Home Care
- Home Health Agency
- Stanton, MI
National Provider Identifier
1861881039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25 | Other | MI | HOME CARE |
Other names 1
- ComForCare Home Care
National Provider Directory
National Provider Directory- Tax ID family
- Comforcare Home Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba ComForCare Home Care
- In Home Supportive Care Agency
- Stanton, MI
- NPI 1497375448
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.
-
- In Home Supportive Care Agency
- Stanton, MI
- NPI 1497059224
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.