Organization Active NPI

Comprehensive Senior Care Corporation

  • Preferred Provider Organization
  • Battle Creek, MI
National Provider Identifier
1902154958
Registry record updated Mar 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
6802069397 Issued in MI
Legal business name
COMPREHENSIVE SENIOR CARE CORPORATION
Practice address
200 Michigan Ave W
Suite 103
Battle Creek, MI 49017-3607
Phone
(269) 441-9300
Fax
(269) 441-3487
NPI assigned
Aug 23, 2012
Last updated
Mar 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2017

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

Authorized official

Name
Alexandria Elizabeth Green Lueth
Title
Ceo
Phone
(269) 441-9332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 6802069397 MI Primary

Addresses

Primary practice location

200 Michigan Ave W
Suite 103
Battle Creek, MI 49017-3607

Mailing address

200 Michigan Ave W
Suite 103
Battle Creek, MI 49017-3607
Phone (269) 441-9300

Other names 1

  • CentraCare Other name

National Provider Directory

National Provider Directory
Tax ID family
Comprehensive Senior Care Corporation2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1902154958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MICHIGAN AVE W",
            "address_2": "SUITE 103",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173607",
            "telephone_number": "269-441-9300",
            "fax_number": "269-441-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MICHIGAN AVE W",
            "address_2": "SUITE 103",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173607",
            "telephone_number": "269-441-9300",
            "fax_number": "269-441-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE SENIOR CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "LUETH",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_middle_name": "ELIZABETH GREEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "269-441-9332"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MI",
            "license": "6802069397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CentraCare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.