Organization
SPARROW COMMUNITY CARE
Active
Parent organization
SPARROW HEALTH SYSTEM
Other names
Home Health Care of Sparrow, Inc, University of Michigan Health-Sparrow Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARROW HEALTH SYSTEM
Authorized official
MISTY GUNTER RUSSIAN (SUPERVISOR, PROVIDER ENROLLMENT)
(517) 253-6308
Entity
Organization
Contact information
Practice address
3301 E MICHIGAN AVE STE A, LANSING, MI 48912-4641
(517) 364-8600
(517) 364-8620
Mailing address
8175 RELIABLE PKWY, CHICAGO, IL 60686-0081
(517) 364-8600
(517) 364-8620
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15-1635264
—
MI
01
—
60-00004
PHYSICIANS HEALTH PLAN MM
MI
01
—
72-70004
PHYSICIANS HEALTH PLAN FC
MI
Enumeration date
07/09/2006
Last updated
12/30/2024
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