Active NPI
Comprehensive Senior Care Corporation
- Preferred Provider Organization
- Battle Creek, MI
National Provider Identifier
1902154958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 6802069397
- 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, 2017
- 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
- Alexandria Elizabeth Green Lueth
- Title
- Ceo
- Phone
- (269) 441-9332
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Comprehensive Senior Care Corporation
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba CentraCare
- General Practice Physician
- Battle Creek, MI
- NPI 1760645386
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.
-
dba CentraCare
- General Practice Physician
- Battle Creek, MI
- NPI 1760645386
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.