Active NPI
Servant Heart Helpers, Inc.
- In Home Supportive Care Agency
- Otsego, MI
National Provider Identifier
1942690904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 45490C
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8779373 | Other | MI | DEPARTMENT OF HUMAN SERVICES - CHORE PROVIDER SERVICES |
Other names 1
- Home Helpers
National Provider Directory
National Provider DirectoryLocations
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.