McLaren Health Management Group

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

163520 Issued in MI

Legal business name

MCLAREN HEALTH MANAGEMENT GROUP

Practice address

761 Lafayette Avenue
Cheboygan, MI 49721

Phone

(231) 627-7157

Fax

(231) 627-1652

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Steven Dale Loy

Title

Cfo/Vice President

Phone

(810) 496-8633

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 3

• McLaren Home Care and Hospice Doing business as
• McLaren Hospice Doing business as
• VitalCare Hospice of the Straits Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• McLaren Northern Michigan

  • General Acute Care Hospital
  • Petoskey, MI
  • NPI 1992812580

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1962595983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 CAL DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484239016",
            "telephone_number": "810-496-8640",
            "fax_number": "231-627-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 LAFAYETTE AVENUE",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "49721",
            "telephone_number": "231-627-7157",
            "fax_number": "231-627-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLAREN HEALTH MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "LOY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "CFO/VICE PRESIDENT",
        "authorized_official_telephone_number": "810-496-8633"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": "163520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "08708",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2698527",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McLaren Home Care and Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McLaren Home Care and Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "McLaren Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VitalCare Hospice of the Straits",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenna Jordan Maze
• Carl Alexander McCready Sr., RPH
• Patrick Michael McGinn, MS, LLP
• McLaren Central Michigan
• McLaren Health Management Group
• McLaren Northern Michigan
• Courtney McQuistion, BSW
• Mediclinic PC
• Holly Alexis Mehan
• Joanna Rose Melton

• All providers in Cheboygan, MI
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.