Healthcare Provider Details

I. General information

NPI: 1699067165
Provider Name (Legal Business Name): CONTINUUM HEALTH MANAGEMENT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2011
Last Update Date: 04/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2111 GOLFSIDE RD SUITE 8
YPSILANTI MI
48197-1145
US

IV. Provider business mailing address

2111 GOLFSIDE RD SUITE 8
YPSILANTI MI
48197-1145
US

V. Phone/Fax

Practice location:
  • Phone: 888-759-4917
  • Fax: 734-547-3014
Mailing address:
  • Phone: 888-759-4917
  • Fax: 734-547-3014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704213153
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number4704213153
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number4704213153
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number4704213153
License Number StateMI
# 5
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number4704213153
License Number StateMI

VIII. Authorized Official

Name: NANCY L. THOMAS
Title or Position: DIRECTOR OF CLINICAL SERVICES
Credential: RN
Phone: 888-759-4917