=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780466375
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GIVEN HOPE HOME HEALTH SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/18/2023
-----------------------------------------------------
Last Update Date | 10/31/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 107 W STATE ST
-----------------------------------------------------
City | MANCELONA
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49659-8048
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 231-676-9859
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 356
-----------------------------------------------------
City | MANCELONA
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 49659-0356
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 231-676-9859
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MISS PATRICIA L FULLER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 231-676-9859
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------