Provider Demographics
NPI:1598097719
Name:ST ISABELLAS HOME HEALTH & HOSPICE
Entity Type:Organization
Organization Name:ST ISABELLAS HOME HEALTH & HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANETTE
Authorized Official - Middle Name:FLORA
Authorized Official - Last Name:CHAPERON
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:906-475-9694
Mailing Address - Street 1:195 AIRPORT CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:NEGAUNEE
Mailing Address - State:MI
Mailing Address - Zip Code:49866-9518
Mailing Address - Country:US
Mailing Address - Phone:906-475-9694
Mailing Address - Fax:
Practice Address - Street 1:195 AIRPORT CIRCLE DR
Practice Address - Street 2:
Practice Address - City:NEGAUNEE
Practice Address - State:MI
Practice Address - Zip Code:49866-9518
Practice Address - Country:US
Practice Address - Phone:906-475-9694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-12
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based