Active NPI
Cherub Enterprises
- In Home Supportive Care Agency
- Portage, MI
National Provider Identifier
1972029353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.