Provider Demographics
NPI:1932631124
Name:MARTELL & COMPANY HOME CARE AND ASSISTANCE
Entity Type:Organization
Organization Name:MARTELL & COMPANY HOME CARE AND ASSISTANCE
Other - Org Name:ASCENSION HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER, OWNER, CFO, COO
Authorized Official - Prefix:
Authorized Official - First Name:MANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-309-4235
Mailing Address - Street 1:845 OAKRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49441-4023
Mailing Address - Country:US
Mailing Address - Phone:231-755-2223
Mailing Address - Fax:231-759-8102
Practice Address - Street 1:845 OAKRIDGE RD
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49441-4023
Practice Address - Country:US
Practice Address - Phone:231-755-2223
Practice Address - Fax:231-759-8102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-28
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5625385Medicaid