Sara Koprolces

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

10591 S Ave
Mattawan, MI 49071-9407

Phone

(269) 352-1986

Fax

(269) 204-2530

NPI assigned

Sep 12, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1912628512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10591 S AVE",
            "city": "MATTAWAN",
            "state": "MI",
            "postal_code": "490719407",
            "telephone_number": "269-352-1986",
            "fax_number": "269-204-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10591 S AVE",
            "city": "MATTAWAN",
            "state": "MI",
            "postal_code": "490719407",
            "telephone_number": "269-352-1986",
            "fax_number": "269-204-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPROLCES",
        "first_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Young Kirk, BCBA
• Kyah Michelle Knarian
• Kelly Kohler, PHD, BCBA-D
• Cari L Konold
• Anthony David Kopp, DC
• Sarah Kranak, MA, BCBA, LBA
• Lacey Physical Therapy Center Incorporated
• Kevin James Lacey, PT, DPT
• Shannon L Logsdon, MSPT
• Janine Elizabeth Rigg Loughrin, M.S.W

• All providers in Mattawan, MI
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.