Provider Demographics
NPI:1265695449
Name:NORTHERN MICHIGAN COMPANIONS HOME HEALTH CARE
Entity type:Organization
Organization Name:NORTHERN MICHIGAN COMPANIONS HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:D
Authorized Official - Last Name:KABBES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-947-3952
Mailing Address - Street 1:3750 ZIMMERMAN ROAD
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-9001
Mailing Address - Country:US
Mailing Address - Phone:231-947-3952
Mailing Address - Fax:
Practice Address - Street 1:3750 ZIMMERMAN RD
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-9001
Practice Address - Country:US
Practice Address - Phone:231-947-3952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-08
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health