PORTAGE HOSPITAL LLC (NPI# 1104253921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104253921 |
| Entity Type | Organization |
| Organization Name | PORTAGE HOSPITAL LLC |
| Other Organization Name | PORTAGEPOINTE |
| Practice Address |
520 Campus Dr Hancock MI 49930-1569 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 9064831300 |
| Practice Fax Number | 9064831184 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2019-07-19 |
| Authorized Official Name | KATHY J. TEAGUE (SECRETARY) |
| Authorized Official Telephone | 6159207000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| PortagePointe | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285061010 | Portage Hospital LLC | Hospice Care, Community Based | 821 W Water St, Hancock, MI 49930-1953 | 2013-10-11 |
| 1134574940 | Portage Hospital LLC | Emergency Response System Companies | 821 W Water St, Hancock, MI 49930-1953 | 2016-04-29 |
| 1073943783 | Portage Hospital LLC | Dietitian, Registered | 500 Campus Dr, Hancock, MI 49930-1569 | 2013-11-15 |
| 1477981124 | Portage Hospital LLC | Home Health | 821 W Water St, Hancock, MI 49930-1953 | 2013-10-16 |
| 1821425612 | Portage Hospital LLC | Medicare Defined Swing Bed Unit | 500 Campus Dr, Hancock, MI 49930-1569 | 2013-10-11 |
| 1174950901 | Portage Hospital LLC | Hearing Aid Equipment | 500 Campus Dr, Hancock, MI 49930-1569 | 2013-10-11 |
| 1710314547 | Portage Hospital LLC | Durable Medical Equipment & Medical Supplies | 500 Campus Dr, Hancock, MI 49930-1569 | 2013-10-11 |
| 1366879199 | Portage Hospital LLC | Clinic/Center | 500 Campus Dr, Hancock, MI 49930-1569 | 2013-10-11 |
| 1245667229 | Portage Hospital LLC | General Acute Care Hospital | 500 Campus Dr, Hancock, MI 49930-1569 | 2013-10-04 |
| Street Address |
520 CAMPUS DR |
| City | HANCOCK |
| State | MI |
| Zip Code | 49930-1569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306958491 | Portage Health Inc | Skilled Nursing Facility | 520 Campus Dr, Hancock, MI 49930-1569 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437627643 | Karen Byrnes | Registered Nurse | Hancock Va Cboc, 787 Market St. Suite 9, Hancock, MI 49930 | 2018-11-06 |
| 1881117562 | Angelica Monique Nunez | Specialist/Technologist | 601 Quincy St, Hancock, MI 49930 | 2017-07-25 |
| 1831581164 | Superior Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 20075 Third Street, Hancock, MI 49930 | 2015-02-24 |
| 1861703258 | Superior Smiles | Dentist | 1550 West Quincy St, Hancock, MI 49930 | 2010-06-30 |
| 1164633780 | Kathryn Mary Salmi | Counselor | 100 Quincy Street, Hancock, MI 49930 | 2007-05-25 |
| 1093828535 | Mary Katherine Van Camp | Social Worker | 787 Market St., Suites 9 & 10, Hancock, MI 49930 | 2006-08-17 |
| 1083627392 | Kim Kathleen Green | Social Worker | 787 Market Street, Hancock, MI 49930 | 2006-08-15 |
| 1346257672 | James William Sarazin | Dentist | 528 Quincy Street, Hancock, MI 49930 | 2006-08-01 |
| 1114951829 | Patricia J Tikkanen | Social Worker | 200 Michigan St Ste 321, Hancock, MI 49930 | 2006-07-10 |
| 1487639829 | Thomas Collins | Social Worker | 920 Water Street, Hancock, MI 49930 | 2005-12-08 |
| Find all providers in zip 49930 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306958491 | Portage Health Inc | Skilled Nursing Facility | 520 Campus Dr, Hancock, MI 49930-1569 | 2006-08-31 |
| 1871540005 | Cypress Healthcare, LLC | Skilled Nursing Facility | 1400 Poplar St, Hancock, MI 49930-1121 | 2006-05-31 |
| 1083607139 | Houghton County Medical Care Facility | Skilled Nursing Facility | 1100 W Quincy St, Hancock, MI 49930-1404 | 2005-08-24 |
| 1508471574 | Mission Point of Hancock | Skilled Nursing Facility | 1400 Poplar St, Hancock, MI 49930-1121 | 2020-09-15 |
| 1245886381 | Hancock Nursing & Rehab Center, LLC | Skilled Nursing Facility | 1400 Poplar St, Hancock, MI 49930-1121 | 2019-08-14 |
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|---|---|---|---|---|
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| 1508497918 | Harmony Village Snf, LLC | Skilled Nursing Facility | 16588 Schaefer Hwy # 4249, Detroit, MI 48235-4249 | 2020-02-04 |
| 1336795244 | Ishpeming Nursing & Rehab Center, LLC | Skilled Nursing Facility | 435 Rd Pl, Ishpeming, MI 49849 | 2019-08-15 |
| 1669965299 | Wellbridge of Clarkston, LLC | Skilled Nursing Facility | 5655 Clarkston Road, Independence Township, MI 48348 | 2018-06-08 |
| 1104318112 | Wellbridge At Genesys Health Park, LLC | Skilled Nursing Facility | 3139 East Baldwin Road, Grand Blanc, MI 48439 | 2018-06-05 |
| 1427549955 | Mission Point of Detroit, LLC | Skilled Nursing Facility | 2102 Orleans, Detroit, MI 48207 | 2018-05-21 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1972092344 | Regency At Grand Haven, LLC | Skilled Nursing Facility | 17049 Comstock St, Grand Haven, MI 49417-7903 | 2018-05-01 |
| 1093214173 | Sana Nasir Inc. | Skilled Nursing Facility | 13840 King Rd, Riverview, MI 48193 | 2018-02-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.