THE COUNCIL ON AGING, INC., SERVING ST. CLAIR COUNTY (NPI# 1689296550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689296550 |
| Entity Type | Organization |
| Organization Name | THE COUNCIL ON AGING, INC., SERVING ST. CLAIR COUNTY |
| Practice Address |
600 Grand River Ave Port Huron MI 48060-3817 |
| Practice Telephone | 8109878811 |
| Mailing Telephone | 8109878811 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| Authorized Official Name | SCOTT CRAWFORD (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8109878811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Street Address |
600 GRAND RIVER AVE |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-3817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548689524 | Medical Staffing and Consulting Network,llc | In Home Supportive Care | 3018 Gratiot Ave, Port Huron, MI 48060-2274 | 2014-04-07 |
| 1154922524 | Coles Comprehensive Home Care LLC | In Home Supportive Care | 1221 Briarwood Dr, Port Huron, MI 48060-2092 | 2020-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972104818 | Work By Faith Home Care LLC | In Home Supportive Care | 708 Van Buren St W, Battle Creek, MI 49037-2218 | 2020-11-06 |
| 1902407067 | Mjp Management LLC | In Home Supportive Care | 1 Comtronics Pl, Jackson, MI 49203-7500 | 2020-11-05 |
| 1891396115 | Tender Care Homecare Services | In Home Supportive Care | 25331 Lois Ln, Southfield, MI 48075-1040 | 2020-11-03 |
| 1851991699 | Cacck Enterprise Inc | In Home Supportive Care | 15851 S Us 27 Ste 314, Lansing, MI 48906-1987 | 2020-10-30 |
| 1194322628 | Albacare LLC | In Home Supportive Care | 2755 Pall Mall Dr, Sterling Heights, MI 48310-5808 | 2020-10-07 |
| 1821604315 | Essential Reliable Care LLC | In Home Supportive Care | 513 Cherry Orchard Rd, Canton, MI 48188-5272 | 2020-09-20 |
| 1518573450 | Burd Home Health LLC | In Home Supportive Care | 15001 Kerchezal Ave Unit #2042, Grosse Point Park, MI 48230 | 2020-09-16 |
| 1174138754 | Aliah Sanusi | In Home Supportive Care | 25900 Greenfield Rd Ste 503, Oak Park, MI 48237-1893 | 2020-09-10 |
| 1407461353 | Paradise Home Care LLC | In Home Supportive Care | 5315 Discovery Dr Se, Kentwood, MI 49508-6656 | 2020-09-08 |
| 1437763406 | Kelechi Akubukwe | In Home Supportive Care | 48164 Royal Pointe Dr, Canton, MI 48187-5466 | 2020-09-07 |
| Find all providers with the same taxonomy | ||||
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on THE COUNCIL ON AGING, INC., SERVING ST. CLAIR COUNTY.
| 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.