NPIMap

Organization Active NPI

Mymichigan Medical Center Alpena

  • Home Health Agency
  • Alpena, MI
National Provider Identifier
1922048065
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
251E00000X Issued in MI
Legal business name
MYMICHIGAN MEDICAL CENTER ALPENA
Practice address
1521 W. Chisholm Street
Alpena, MI 49707
Phone
(989) 356-8004
Fax
(989) 356-8034
NPI assigned
Jun 7, 2006
Organization subpart
Yes
Parent organization
MYMICHIGAN HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Sarah James
Title
Manager, Provider Enrollment
Phone
(989) 701-4734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 251E00000X MI Primary

Addresses

Primary practice location

1521 W. Chisholm Street
Alpena, MI 49707

Mailing address

4000 Wellness Dr
Midland, MI 48670-0001
Phone (844) 832-1956

Other identifiers 2

IdentifierTypeStateIssuer
0E055OtherMIBCBSM
2902550MedicaidMI

Other names 1

  • MidMichigan Home Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130126000037 MI Part A Provider - Home Health Agency 8527969922 Practice locations: Alpena, MI

Home health agency certification: CCN 237235

Legal name
MYMICHIGAN MEDICAL CENTER ALPENA
Doing business as
MYMICHIGAN HOME CARE NORTHERN MICHIGAN
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 24, 1992
Last certification
Nov 25, 1992
Ownership / control type
Non-Profit
Organization structure
CorporationNon-profit
Enrollment address
1521 W Chisholm St
Alpena, MI 49707-1401
HHA Branch

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mymichigan Home Care Northern MichiganCCN 237235
Overall star rating
3.5 of 5
Ownership
Non-Profit
Certified
Nov 24, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Henry B Odunlami MD29 organizations share this tax ID, including this one
Part of
Mymichigan Health

Other organizations with this tax ID 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael Paulsell Individual Corporate DirectorMedical Staff President Dec 1, 2024
James D Decker Individual Corporate OfficerChair, Board of Directors Apr 1, 2016
Sarah James Individual Corporate Officer Jul 1, 2025
Samantha Hunter Individual W-2 Managing Employee Feb 26, 2025
Rebecka S Hale Individual Corporate DirectorDirector May 5, 2025
Mymichigan Health Organization, Midland, MI Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 2016 100%
Hunter Nostrant Individual 5% Or Greater Direct Ownership InterestPresident Sep 1, 2024
Corporate OfficerPresident Sep 1, 2024
Tricia Gorde Individual Corporate DirectorDirector of Operations Jan 20, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 30

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 30

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 97

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 97

Affiliated clinicians 26

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1922048065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486700001",
            "telephone_number": "844-832-1956",
            "fax_number": "989-633-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 W. CHISHOLM STREET",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "49707",
            "telephone_number": "989-356-8004",
            "fax_number": "989-356-8034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYMICHIGAN MEDICAL CENTER ALPENA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MYMICHIGAN HEALTH",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "MANAGER, PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "989-701-4734"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "251E00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0E055",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2902550",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MidMichigan Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpena, MI

Sources for this page

Verify at the official NPI Registry.