Provider Demographics
NPI:1679121685
Name:HATMAKER, MELISSA (HOME CARE GIVER)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:HATMAKER
Suffix:
Gender:F
Credentials:HOME CARE GIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18491 9 1/2 MILE RD
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49014-8406
Mailing Address - Country:US
Mailing Address - Phone:269-788-8351
Mailing Address - Fax:
Practice Address - Street 1:8854 E DR N
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49014-8232
Practice Address - Country:US
Practice Address - Phone:269-788-8351
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-03
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider