Hackley Health Management

Primary specialty

Nutrition Education NutritionistTaxonomy code 133NN1002X

Legal business name

HACKLEY HEALTH MANAGEMENT

Practice address

3535 Park St
Suite 104
Muskegon, MI 49444-3736

Phone

(231) 830-9684

Fax

(231) 830-9555

NPI assigned

Jun 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Susan M Roberts

Title

Director

Phone

(231) 728-5880

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912949678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 PARK ST",
            "address_2": "SUITE 104",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443736",
            "telephone_number": "231-830-9684",
            "fax_number": "231-830-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 PARK ST",
            "address_2": "SUITE 104",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443736",
            "telephone_number": "231-830-9684",
            "fax_number": "231-830-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HACKLEY HEALTH MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "231-728-5880",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hackley Community Care Center, Inc (Hackley Community Care - Forest)
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• Hackley Community Care Center, Inc
• Hackley Community Care Center, Inc (Three Oaks Charter Academy)
• Hackley Community Care Center, Inc (Dr. Martin Luther King Academy)
• Hackley Healthcare Equipment (Hackley Healthcare Equipment & Pharmacy)
• Hackley Healthcare Equipment (Mercy Health Healthcare Equipment)
• Hackley Hospital (Hackley Weight Management Center)
• Hackley Hospital (Hackley Urgent Care Center)
• Hackley Hospital (Hackley Urgent Care)

• Nutrition Education Nutritionist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Nutrition Education Nutritionist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.