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NPI Code Detail

MEDICARE: ST. JOSEPH HOME HEALTH & HOSPICE

MEDICARE: ST. JOSEPH HOME HEALTH & HOSPICE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health AgencyMI
2251G00000XCommunity Based Hospice Care AgencyMI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
108737OTHERMIBC/BS HOSPICE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
30E139OTHERMIBC/BS HOME HEALTH
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659374668
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST. JOSEPH HOME HEALTH & HOSPICE
Provider Business Mailing Address
First Line : PO BOX 239
Second Line :
City : TAWAS CITY
State : MI
Zip : 48764-0239
Country : US
Telephone Number : 989-362-4611
Fax Number : 989-362-8771
Provider Business Practice Location Address
First Line : 716 GERMAN ST
Second Line :
City : TAWAS CITY
State : MI
Zip : 48763-9349
Country : US
Telephone Number : 989-362-4611
Fax Number : 989-362-8771
Authorized Official
Title or Position : ADMINISTRATOR
Name : ANN M BALFOUR
Credential :
Telephone Number : 989-362-4611
Provider Enumeration Date : 05/23/2005
Last Update Date : 09/11/2025

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Directions to “ST. JOSEPH HOME HEALTH & HOSPICE ” Practice Location

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