BRONSON SOUTH HAVEN HOSPITAL (NPI# 1467539502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467539502 |
| Entity Type | Organization |
| Organization Name | BRONSON SOUTH HAVEN HOSPITAL |
| Practice Address |
955 S Bailey Ave South Haven MI 49090-9701 |
| Mailing Address |
601 John St. Box 42 Kalamazoo MI 49007 |
| Practice Telephone | 2696375271 |
| Practice Fax Number | 2696392889 |
| Mailing Telephone | 2693418419 |
| Mailing Fax Number | 2693418913 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2017-08-31 |
| Authorized Official Name | MS. REBECCA L EAST (SVP, CFO) |
| Authorized Official Telephone | 2693416000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | MI | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902149818 | Bronson South Haven Hospital | Emergency Medicine | 970 S Bailey Ave, South Haven, MI 49090 | 2013-03-28 |
| 1174749170 | Bronson South Haven Hospital | Internal Medicine | 950 S Bailey Ave, South Haven, MI 49090-8744 | 2007-04-18 |
| 1871104034 | Bronson South Haven Hospital | Family Medicine | 930 Blue Star Hwy, South Haven, MI 49090-7758 | 2020-08-12 |
| 1790261832 | Bronson South Haven Hospital | Emergency Medicine | 970 S Bailey Ave, South Haven, MI 49090 | 2018-07-12 |
| 1407072754 | Bronson South Haven Hospital | Clinic/Center | 965 S Bailey Ave, South Haven, MI 49090-9701 | 2007-04-17 |
| 1770599052 | Bronson South Haven Hospital | Family Medicine | 520 Railroad St, Bangor, MI 49013-1490 | 2006-07-31 |
| 1346275856 | Bronson South Haven Hospital | General Acute Care Hospital | 955 S Bailey Ave, South Haven, MI 49090-9701 | 2006-07-12 |
| Street Address |
955 S BAILEY AVE |
| City | SOUTH HAVEN |
| State | MI |
| Zip Code | 49090-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548256449 | William Dean Gilmer | Nurse Anesthetist, Certified Registered | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2005-09-26 |
| 1184245342 | Lynn Yvette Sharpe | Physical Therapist | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2020-04-29 |
| 1174142442 | Kim House | Dietitian, Registered | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2020-04-15 |
| 1447803366 | Josiah Griffore | Physical Therapist | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2019-07-19 |
| 1639730948 | Scott Eric Smith | Occupational Therapist | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2019-06-26 |
| 1083114532 | Sarah R Rucano | Specialist/Technologist | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2018-02-20 |
| 1356718761 | South Haven Community Health System | General Acute Care Hospital | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2015-09-01 |
| 1215312202 | Katrina Nichole Barrett | Nurse Practitioner | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2015-07-20 |
| 1841698917 | Christopher Wendling | Specialist/Technologist | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2014-12-05 |
| 1952742603 | Andrew Josiah Rife | Physician Assistant | 955 S Bailey Ave, South Haven, MI 49090-6743 | 2013-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295234490 | Katara Therapy, LLC | Social Worker | 13560 76th Street, Suite 3, South Haven, MI 49090 | 2018-02-03 |
| 1487022091 | Kevin E. Ferrell | Physician Assistant | 955 S. Bailey Avenue, South Haven, MI 49090 | 2015-09-14 |
| 1942638002 | Birdie Farley | Chore Provider | 26725 M-140 Hwy, South Haven, MI 49090 | 2013-10-28 |
| 1730514910 | Rebecca A. Bennett | Counselor | 1675 Phoenix Road, Suite 9, South Haven, MI 49090 | 2013-09-06 |
| 1902149818 | Bronson South Haven Hospital | Emergency Medicine | 970 S Bailey Ave, South Haven, MI 49090 | 2013-03-28 |
| 1265629927 | Cecilia Liz Vives Vasquez | Physical Therapist | 23701 Red Arrow Hwy, Mattawan, MI 49090 | 2007-09-26 |
| 1518089788 | Donald Jam,es Buckley | Pharmacist | 955 S Bailey, South Haven, MI 49090 | 2007-04-06 |
| 1366568966 | Norman M Maly | Dentist | 05055 Blue Star Hwy, South Haven, MI 49090 | 2007-03-22 |
| 1639264062 | Deborah Sue Distefano | Pharmacy Technician | 512 Phoenix Street, South Haven, MI 49090 | 2006-10-03 |
| 1053357897 | Stephen Earl Tolen | Chiropractor | 325 Superior St., South Haven, MI 49090 | 2006-06-21 |
| Find all providers in zip 49090 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043666167 | Joyce Lee Peterson | Home Health | 328 Edgell St, South Haven, MI 49090-1716 | 2016-05-07 |
| 1366713265 | Turner Home Healthcare | Home Health | 10871 68th St, South Haven, MI 49090-8729 | 2012-01-24 |
| 1750691903 | Serenity Choice Homecare | Home Health | 33459 Csah 19, South Haven, MN 55382-2821 | 2010-10-20 |
| 1215023551 | Friends Who Care-south Haven,llc | Home Health | 532 Dyckman Ave Ste A, South Haven, MI 49090-2509 | 2006-10-05 |
| 1356586531 | Universall Home Health Care, LLC. | Home Health | 1210 Phoenix St, Suite 6, South Haven, MI 49090-7913 | 2008-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104867 | Domestic Life Services LLC | Home Health | 11662 Heyden St, Detroit, MI 48228-1047 | 2020-11-05 |
| 1063013407 | Rosemary's Helping Hands | Home Health | 241 La Grange Ave, Battle Creek, MI 49014-5873 | 2020-11-03 |
| 1174124713 | Noble Home Health Care LLC | Home Health | 451 Hague St, Detroit, MI 48202-2122 | 2020-11-02 |
| 1396345294 | Nbmc Compassionate Care Managed Services (ccms), LLC | Home Health | 705 S 11th St, Saginaw, MI 48601-2104 | 2020-10-29 |
| 1528668811 | Safe Haven Home Health Care L.l.c | Home Health | 3311 Hoover St, Kalamazoo, MI 49008-2693 | 2020-10-27 |
| 1437758059 | Luxury Home Care LLC | Home Health | 6015 Lake Dr Lot 106, Ypsilanti, MI 48197-7016 | 2020-10-23 |
| 1437758463 | D & D Non-medical Home Care Agency LLC | Home Health | 1317 Hotop Ave, Kalamazoo, MI 49048-1824 | 2020-10-21 |
| 1386243376 | Halstead Nursing Services LLC | Home Health | 518 Westbrook, Whitmore Lake, MI 48189-8212 | 2020-10-20 |
| 1477152700 | Caring Hands Home Health and Hospice | Home Health | 1901 W Hobson Ave, Flint, MI 48504-7042 | 2020-10-19 |
| 1700484474 | Katrisha D Thomas | Home Health | 31158 Woodland St Apt 17108, Wixom, MI 48393-2690 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HAVEN |
| Zip Code | 49090 |
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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.