SOUL PURPOSE HOME CARE, LLC (NPI# 1710510409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710510409 |
| Entity Type | Organization |
| Organization Name | SOUL PURPOSE HOME CARE, LLC |
| Practice Address |
1650 Barlow St Traverse City MI 49686-4721 |
| Practice Telephone | 2318710871 |
| Practice Fax Number | 2312411118 |
| Mailing Telephone | 2318710871 |
| Mailing Fax Number | 2312411118 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Authorized Official Name | KIMBERLY A HARTGERINK (OWNER) |
| Authorized Official Telephone | 2318710871 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
1650 BARLOW ST |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49686-4721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336252378 | Heidi M Hoffman | Occupational Therapist | 1650 Barlow St, Traverse City, MI 49686-4721 | 2006-08-16 |
| 1972168987 | Rodney P Ranger | Physical Therapist | 1650 Barlow St, Traverse City, MI 49686-4721 | 2019-05-06 |
| 1912438177 | Pamela Mcgraw | Physical Therapist | 1650 Barlow St, Traverse City, MI 49686-4721 | 2017-03-21 |
| 1689126401 | Heidi Mueller | Physical Therapist | 1650 Barlow St, Traverse City, MI 49686-4721 | 2016-10-27 |
| 1649626979 | Haleigh Marie Ensman | Occupational Therapist | 1650 Barlow St, Traverse City, MI 49686-4721 | 2016-05-05 |
| 1417374075 | Great Lakes Home Healthcare Specialists, LLC | Home Health | 1650 Barlow St, # 10, Traverse City, MI 49686-4721 | 2014-03-20 |
| 1164851812 | Molly Harrison | Occupational Therapy Assistant | 1650 Barlow St, Traverse City, MI 49686-4721 | 2013-11-04 |
| 1598194144 | Ame Rica Santiago Palacpac | Physical Therapist | 1650 Barlow St, Traverse City, MI 49686-4721 | 2013-11-04 |
| 1558606830 | Corey R Vanderwulp | Occupational Therapist | 1650 Barlow St, Traverse City, MI 49686-4721 | 2012-11-28 |
| 1538411467 | Michelle D Welch | Physical Therapist | 1650 Barlow St, Traverse City, MI 49686-4721 | 2012-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245877208 | Jessica Marie Glowacki | Behavior Technician | 935 Hemlock St, Traverse City, MI 49686 | 2019-12-09 |
| 1568011542 | Joanne Kressley | Technician | 1693 Maylane Apt. 104, Traverse City, MI 49686 | 2019-09-11 |
| 1194283846 | Pace North | PACE Provider Organization | 2325 Garfield Road N., Traverse City, MI 49686 | 2019-03-12 |
| 1245749225 | Margaret Anne Goss | Speech-Language Pathologist | 1105 E. Eighth Street, Traverse City, MI 49686 | 2017-09-22 |
| 1467981811 | Joan Joyce Shirilla | Social Worker | 2124 Twin Eagles Dr, Traverse City, MI 49686 | 2017-06-08 |
| 1770028763 | Rehab and Mobility Systems, LLC | Durable Medical Equipment & Medical Supplies | 707 Parsons, Traverse City, MI 49686 | 2016-12-29 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1811441132 | Jeffrey D Goodwin | Counselor | 430 Fair St., Traverse City, MI 49686 | 2016-08-04 |
| 1053779918 | Thomas Osborne | Counselor | 2014 Phelps Rd., Traverse City, MI 49686 | 2016-02-08 |
| 1982079588 | Marsha Lynne Dallas | Counselor | 2240 South Airport Road, Traverse City, MI 49686 | 2015-12-08 |
| Find all providers in zip 49686 | ||||
| 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 |
|---|---|---|---|---|
| 1225694342 | Advisacare Healthcare Solutions, Inc | Home Health | 124 N Division St, Traverse City, MI 49684-2263 | 2019-05-14 |
| 1306336524 | Kabbes Corporation | Home Health | 1212 Veterans Dr Ste 206, Traverse City, MI 49684-4734 | 2018-05-14 |
| 1225546617 | Holli Care LLC | Home Health | 2062 N Us 31 S Ste A, Traverse City, MI 49685-6997 | 2018-01-19 |
| 1215452164 | Holli Home Health Care, LLC | Home Health | 2062 North Us-31 South, Suite A, Traverse City, MI 49685 | 2017-08-11 |
| 1053716084 | Bay Home Health Care, LLC | Home Health | 680 W Sleights Rd, Traverse City, MI 49696-8358 | 2014-11-04 |
| 1356763478 | Traverse City Residentia Lcare, LLC | Home Health | 176 Island View Dr, Traverse City, MI 49696-9313 | 2014-01-08 |
| 1629407796 | Rlk Investments, Inc. | Home Health | 1107 E Eighth St, Traverse City, MI 49686-2936 | 2013-11-08 |
| 1144522822 | Sunrise Home Health Services, Inc. | Home Health | 473 Peninsula Knolls Ct., Traverse City, MI 49686-6112 | 2010-12-01 |
| 1891000683 | Integrity Skilled Care, Inc. | Home Health | 2062 N Us 31 S, Ste A, Traverse City, MI 49685-6997 | 2010-08-17 |
| 1649595265 | Harbor Care Associates, LLC | Home Health | 3281 Racquet Club Dr, Suite C, Traverse City, MI 49684-4701 | 2010-04-07 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49686 |
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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.