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CCR HOME HEALTH CARE NPI 1376785105


NPI Information

NPI: 1376785105
Provider Name: CCR HOME HEALTH CARE
Classification: Nursing Care - 251J00000X
Entity Type: Organization
Address:
4460 CLOVERVILLE RD
FRUITPORT, MI
ZIP 49415
Phone: (231) 773-8496
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CCR HOME HEALTH CARE is a nursing care in Fruitport, MI. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. CCR HOME HEALTH CARE NPI is 1376785105. The provider is registered as an organization entity type.

The provider's business location address is:

4460 CLOVERVILLE RD
FRUITPORT, MI
ZIP 49415-714
Phone: (231) 773-8496

The provider's authorized official is Kelly Sue Payne .
The authorized official title is Ceo and has the following contact phone number (231) 773-8496.

The enumeration date for this NPI number is 3/25/2009 and was last updated on 3/25/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251J00000XNursing CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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