Provider Demographics
NPI:1497115521
Name:RIPLEY, INC
Entity Type:Organization
Organization Name:RIPLEY, INC
Other - Org Name:HOMEWATCH CAREGIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KURT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:KAZANOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:734-658-6162
Mailing Address - Street 1:296 S MAIN ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:PLYMOUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48170-4256
Mailing Address - Country:US
Mailing Address - Phone:734-658-6162
Mailing Address - Fax:734-207-7560
Practice Address - Street 1:296 S MAIN ST
Practice Address - Street 2:SUITE 203
Practice Address - City:PLYMOUTH
Practice Address - State:MI
Practice Address - Zip Code:48170-4256
Practice Address - Country:US
Practice Address - Phone:734-658-6162
Practice Address - Fax:734-207-7560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-02
Last Update Date:2016-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care