Grand Traverse Pavilions Home Healthcare
Home Health in Traverse City, MI. Organization (NPI-2).
NPI number1972802908
StatusActive
Last updated in NPPESMar 16, 2011
Details
- NPI
- 1972802908
- Entity type
- Organization (NPI-2)
- Legal business name
- Grand Traverse Pavilions Home Healthcare
- Organization subpart
- Yes
- Enumeration date
- Mar 16, 2011
- Last updated
- Mar 16, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Practice location
1000 Pavillions CirTraverse City, MI 49684-3198
Phone 231-932-3000
Mailing address
1000 Pavillions CirTraverse City, MI 49684-3198
Phone 231-932-3000
Authorized official
Korvyn R Hansen
Administrator/Ceo
2319323021
Is something wrong?
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All 34 Home Health Agency providers in Traverse City · All 4,445 providers in Traverse City
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