Healthcare Provider Details

I. General information

NPI: 1316535651
Provider Name (Legal Business Name): HEIGHTS OF HOPE HOME HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2021
Last Update Date: 01/05/2021
Certification Date: 01/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3376 7TH ST
MUSKEGON HEIGHTS MI
49444-2865
US

IV. Provider business mailing address

3376 7TH ST
MUSKEGON HEIGHTS MI
49444-2865
US

V. Phone/Fax

Practice location:
  • Phone: 231-769-5615
  • Fax:
Mailing address:
  • Phone: 231-769-5615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ANTONIA C GORDON
Title or Position: CEO
Credential:
Phone: 231-769-5615