Organization Active NPI

Cherub Enterprises

  • In Home Supportive Care Agency
  • Portage, MI
National Provider Identifier
1972029353
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
CHERUB ENTERPRISES
Practice address
5413 S Westnedge Ave Ste D-E
Portage, MI 49002-0453
Phone
(269) 459-6464
Fax
(269) 348-0079
NPI assigned
Aug 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Mrs. Ellen Kluck
Title
Manager
Phone
(269) 459-6464

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

5413 S Westnedge Ave Ste D-E
Portage, MI 49002-0453

Mailing address

5413 S Westnedge Ave Ste D-E
Portage, MI 49002-0453
Phone (269) 459-6464

Other names 1

  • Visiting Angels of Southwest Michigan Doing business as

National Provider Directory

National Provider Directory

Locations

120 S Main St
Plainwell, MI 49080

5413 S Westnedge Ave
Ste De
Portage, MI 49002
Phone (269) 459-6464

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1972029353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5413 S WESTNEDGE AVE STE D-E",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490020453",
            "telephone_number": "269-459-6464",
            "fax_number": "269-348-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5413 S WESTNEDGE AVE STE D-E",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490020453",
            "telephone_number": "269-459-6464",
            "fax_number": "269-348-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERUB ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "KLUCK",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "269-459-6464",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels of Southwest Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.