NPIMap

Organization Active NPI

Munson Home Services

  • Home Health Agency
  • Traverse City, MI
National Provider Identifier
1972614675
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MUNSON HOME SERVICES
Practice address
550 Munson Ave
Traverse City, MI 49686-3580
Phone
(231) 935-6520
Fax
(866) 380-0564
NPI assigned
Aug 31, 2006
Last updated
Apr 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MUNSON HOME HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Ms. Shari L Wilson, RN, MPH
Title
President
Phone
(231) 935-8432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

550 Munson Ave
Traverse City, MI 49686-3580

Mailing address

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-6520

Other identifiers 4

IdentifierTypeStateIssuer
4364011MedicaidMI
4362607MedicaidMI
4363990MedicaidMI
4364030MedicaidMI

National Provider Directory

National Provider Directory
Tax ID family
Munson Oxygen Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1972614675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 6TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842345",
            "telephone_number": "231-935-6520",
            "fax_number": "866-530-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MUNSON AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863580",
            "telephone_number": "231-935-6520",
            "fax_number": "866-380-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSON HOME SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MUNSON HOME HEALTH",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-935-8432",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4364011",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4362607",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4363990",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4364030",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.