Organization Active NPI

Servant Heart Helpers, Inc.

  • In Home Supportive Care Agency
  • Otsego, MI
National Provider Identifier
1942690904
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
45490C Issued in MI
Legal business name
SERVANT HEART HELPERS, INC.
Doing business as
Home Helpers
Practice address
111 S Farmer St
Otsego, MI 49078-1119
Phone
(269) 692-2074
Fax
(775) 514-8859
NPI assigned
Jan 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2015

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

Authorized official

Name
Carol Lust
Title
Co-Owner
Phone
(269) 692-2074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 45490C MI Primary

Addresses

Primary practice location

111 S Farmer St
Otsego, MI 49078-1119

Mailing address

111 S Farmer St
Otsego, MI 49078-1119
Phone (269) 692-2074

Other identifiers 1

IdentifierTypeStateIssuer
8779373OtherMIDEPARTMENT OF HUMAN SERVICES - CHORE PROVIDER SERVICES

Other names 1

  • Home Helpers Doing business as

National Provider Directory

National Provider Directory

Locations

111 S Farmer St
Otsego, MI 49078
Phone (269) 692-2074

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1942690904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S FARMER ST",
            "city": "OTSEGO",
            "state": "MI",
            "postal_code": "490781119",
            "telephone_number": "269-692-2074",
            "fax_number": "775-514-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S FARMER ST",
            "city": "OTSEGO",
            "state": "MI",
            "postal_code": "490781119",
            "telephone_number": "269-692-2074",
            "fax_number": "775-514-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVANT HEART HELPERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "LUST",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "269-692-2074"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MI",
            "license": "45490C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HUMAN SERVICES - CHORE PROVIDER SERVICES",
            "identifier": "8779373",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Helpers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Otsego, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.