Healthcare Provider Details

I. General information

NPI: 1932028214
Provider Name (Legal Business Name): BERTHAS CARE PLACE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

647 BUTTERFLY APT 136
KALAMAZOO MI
49009-3209
US

IV. Provider business mailing address

251 N ROSE ST STE 200
KALAMAZOO MI
49007-3874
US

V. Phone/Fax

Practice location:
  • Phone: 269-823-1103
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: CORPHILIA ANDERSON
Title or Position: CEO
Credential:
Phone: 800-711-9518