Organization Active NPI

Custom Carelink, L.L.C.

  • Home Health Agency
  • Kalamazoo, MI
National Provider Identifier
1912279282
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CUSTOM CARELINK, L.L.C.
Practice address
2300 Portage St.
Apt. 127
Kalamazoo, MI 49001
Phone
(269) 344-9888
NPI assigned
Feb 2, 2012
Last updated
Feb 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Lory Fish
Title
Member
Phone
(269) 344-9888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2300 Portage St.
Apt. 127
Kalamazoo, MI 49001

Mailing address

PO Box 3223
Kalamazoo, MI 49003-3223
Phone (269) 344-9888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1912279282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3223",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490033223",
            "telephone_number": "269-344-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PORTAGE ST.",
            "address_2": "APT. 127",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49001",
            "telephone_number": "269-344-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOM CARELINK, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "LORY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "269-344-9888"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.