PORTAGE HEALTH INC (NPI# 1730202276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730202276 |
| Entity Type | Organization |
| Organization Name | PORTAGE HEALTH INC |
| Other Organization Name | PORTAGE HEALTH HOME CARE & HOSPICE |
| Practice Address |
500 Campus Dr Hancock MI 49930-1569 |
| Practice Telephone | 9064831160 |
| Practice Fax Number | 9064831167 |
| Mailing Telephone | 9064831160 |
| Mailing Fax Number | 9064831167 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | LEAH KINNUNEN (HOSPICE COORDINATOR) |
| Authorized Official Telephone | 9064831160 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | PORTAGE HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Portage Health Home Care & Hospice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013247972 | Portage Health Inc | General Practice | 921 W Sharon Ave., Houghton, MI 49931 | 2009-12-28 |
| 1306958491 | Portage Health Inc | Skilled Nursing Facility | 520 Campus Dr, Hancock, MI 49930-1569 | 2006-08-31 |
| 1215931068 | Portage Health Inc | Emergency Medicine | 500 Campus Dr, Hancock, MI 49930-1569 | 2005-06-09 |
| 1114052099 | Portage Health Inc | Medicare Defined Swing Bed Unit | 500 Campus Dr, Hancock, MI 49930-1569 | 2007-02-22 |
| 1649316142 | Portage Health Inc | Home Health | 500 Campus Dr, Hancock, MI 49930 | 2007-01-30 |
| 1184786188 | Portage Health Inc | Clinic/Center | 500 Campus Dr, Hancock, MI 49930-1569 | 2006-12-15 |
| Street Address |
500 CAMPUS DR |
| City | HANCOCK |
| State | MI |
| Zip Code | 49930-1569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215931068 | Portage Health Inc | Emergency Medicine | 500 Campus Dr, Hancock, MI 49930-1569 | 2005-06-09 |
| 1376182931 | Melissa Sue Meier | Nurse Practitioner | 500 Campus Dr, Hancock, MI 49930-1452 | 2019-12-31 |
| 1336786078 | Jeremy Michael Nicoski | Nurse Anesthetist, Certified Registered | 500 Campus Dr, Hancock, MI 49930-1452 | 2019-12-02 |
| 1548805005 | Shana Louise Roth | Dietitian, Registered | 500 Campus Dr, Hancock, MI 49930-1452 | 2019-11-08 |
| 1902365752 | Natalie Sloan Hupp | Physical Therapist | 500 Campus Dr, Hancock, MI 49930-1452 | 2019-03-19 |
| 1891267571 | Jenny Dice | Pharmacist | 500 Campus Dr, Hancock, MI 49930-1452 | 2018-12-19 |
| 1700354149 | Jessie Rae Salo | Nurse Practitioner | 500 Campus Dr, Hancock, MI 49930-1452 | 2018-11-04 |
| 1154806206 | Brittany Andrianna Wadaga | Registered Nurse | 500 Campus Dr, Hancock, MI 49930-1452 | 2018-09-25 |
| 1417442898 | Concierge Dermatology & Skin Surgery Center | Dermatology | 500 Campus Dr, Hancock, MI 49930 | 2018-06-27 |
| 1306343918 | Stephanie Bustos | Physical Therapist | 500 Campus Dr, Hancock, MI 49930-1452 | 2018-04-10 |
| Find all providers in the same location | ||||
| 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 | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| 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 |
| 1932236551 | Aspirus Superior Home Health and Hospice Inc | Hospice Care, Community Based | 540 Depot St, Hancock, MI 49930-2031 | 2007-02-28 |
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|---|---|---|---|---|
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| 1851909741 | Trillium House, Inc. | Hospice Care, Community Based | 1144 Northland Dr, Marquette, MI 49855-4408 | 2020-07-17 |
| 1568086056 | John Paul Home Hospice LLC | Hospice Care, Community Based | 30800 Telegraph Rd Ste 3700, Bingham Farms, MI 48025-4583 | 2020-06-01 |
| 1992331128 | Careline Health Group - Mi LLC | Hospice Care, Community Based | 113 W Michigan Ave Ste 1024th, Jackson, MI 49201-1340 | 2020-03-19 |
| 1659906220 | Optimal Care, Inc. | Hospice Care, Community Based | 30600 Telegraph Rd Ste 3275, Bingham Farms, MI 48025-5718 | 2020-03-04 |
| 1881234862 | Hope Hospice LLC | Hospice Care, Community Based | 26645 W 12 Mile Rd Ste 211, Southfield, MI 48034-7812 | 2020-01-08 |
| 1124665088 | Hospice of Compassion, Inc | Hospice Care, Community Based | 23300 Greenfield Rd Ste 206, Oak Park, MI 48237-8409 | 2019-12-10 |
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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.