Hanover Home Care, Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AS130377315 Issued in MI

Legal business name

HANOVER HOME CARE, INC.

Practice address

305 S Hanover St
Hastings, MI 49058-1939

Phone

(269) 948-9057

NPI assigned

Dec 5, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Bede E Obasi

Title

President

Phone

(616) 498-6103

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1972047355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S HANOVER ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581939",
            "telephone_number": "269-948-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S HANOVER ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581939",
            "telephone_number": "269-948-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "OBASI",
        "authorized_official_first_name": "BEDE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-498-6103",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MI",
            "license": "AS130377315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyron Hacker, LMSW
• Glenn Emil Hahn, DDS
• Ashly Hamberg, LLP
• Mark Theodore Hamilton, LLP
• Karen Hammond, PTA
• Amy Ossiff Hansen
• David D Harrell, M.D.
• Joleigha Harrington, LMSW
• Diane Hart, CDE
• Holly Ann Hart, LPC

• Assisted Living Facility (Mental Illness) in Hastings, MI
• Providers in Hastings, MI by specialty
• Assisted Living Facility (Mental Illness) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.