Healthcare Provider Details

I. General information

NPI: 1598097719
Provider Name (Legal Business Name): ST ISABELLAS HOME HEALTH & HOSPICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2010
Last Update Date: 02/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 AIRPORT CIRCLE DR
NEGAUNEE MI
49866-9518
US

IV. Provider business mailing address

195 AIRPORT CIRCLE DR
NEGAUNEE MI
49866-9518
US

V. Phone/Fax

Practice location:
  • Phone: 906-475-9694
  • Fax:
Mailing address:
  • Phone: 906-475-9694
  • 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 Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ANETTE FLORA CHAPERON
Title or Position: ADMINISTRATOR
Credential: REGISTERED NURSE
Phone: 906-475-9694