PORTAGE HOSPITAL LLC (NPI# 1477981124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477981124 |
| Entity Type | Organization |
| Organization Name | PORTAGE HOSPITAL LLC |
| Other Organization Name | PORTAGE HEALTH HOME CARE AND HOSPICE |
| Practice Address |
821 W Water St Hancock MI 49930-1953 |
| Mailing Address |
330 Seven Springs Way Brentwood TN 37027-4536 |
| Practice Telephone | 9064831160 |
| Practice Fax Number | 9064831167 |
| Mailing Telephone | 6159207000 |
| Mailing Fax Number | 6159208913 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2014-01-14 |
| Authorized Official Name | JEFFREY G. SERAPHINE (PRESIDENT) |
| Authorized Official Telephone | 6153728500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Portage Health Home Care and Hospice | 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 |
| 1821425612 | Portage Hospital LLC | Medicare Defined Swing Bed Unit | 500 Campus Dr, Hancock, MI 49930-1569 | 2013-10-11 |
| 1104253921 | Portage Hospital LLC | Skilled Nursing Facility | 520 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 |
821 W WATER ST |
| City | HANCOCK |
| State | MI |
| Zip Code | 49930-1953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285061010 | Portage Hospital LLC | Hospice Care, Community Based | 821 W Water St, Hancock, MI 49930-1953 | 2013-10-11 |
| 1306387428 | Michigan In-home Partner-iv, LLC | Hospice Care, Community Based | 821 W Water St, Hancock, MI 49930-1953 | 2017-03-09 |
| 1942749726 | Michigan In-home Partner-iii, LLC | Home Health | 821 W Water St, Hancock, MI 49930-1953 | 2017-02-14 |
| 1134574940 | Portage Hospital LLC | Emergency Response System Companies | 821 W Water St, Hancock, MI 49930-1953 | 2016-04-29 |
| 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 | 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 |
|---|---|---|---|---|
| 1114910502 | Aspirus Superior Home Health and Hospice Inc | Home Health | 540 Depot St, Hancock, MI 49930-2031 | 2005-08-31 |
| 1942749726 | Michigan In-home Partner-iii, LLC | Home Health | 821 W Water St, Hancock, MI 49930-1953 | 2017-02-14 |
| 1649316142 | Portage Health Inc | Home Health | 500 Campus Dr, Hancock, MI 49930 | 2007-01-30 |
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| 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.