Provider Type Icon

MYMICHIGAN MEDICAL CENTER MIDLAND NPI 1639102163


NPI Information

NPI: 1639102163
Provider Name: MYMICHIGAN MEDICAL CENTER MIDLAND

Doing Business As: MYMICHIGAN HOME CARE

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
6810 EASTMAN AVE
MIDLAND, MI
ZIP 48642
Phone: (989) 633-1400
Get Directions

MYMICHIGAN MEDICAL CENTER MIDLAND is a home health in Midland, MI. The provider is 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. MYMICHIGAN MEDICAL CENTER MIDLAND NPI is 1639102163. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mymichigan Home Care.

The provider's business location address is:

6810 EASTMAN AVE
MIDLAND, MI
ZIP 48642-805
Phone: (989) 633-1400
Fax: (989) 633-1464

The provider's authorized official is Charles Harry Sherwin .
The authorized official title is President and has the following contact phone number (989) 356-7779.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 12/5/2023.


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
11041C0700XSocial WorkerClinical6801082428MICHIGANNo
21041C0700XSocial WorkerClinical6801075314MICHIGANNo
3363L00000XNurse Practitioner4704176891MICHIGANNo
4363L00000XNurse Practitioner4704179544MICHIGANNo
5251E00000XHome HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15173909 15MEDICAIDMICHIGAN
20E024OTHERMICHIGANBLUE CROSS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.