Organization Active NPI

Abyride LLC

  • Home Health Agency
  • Grand Rapids, MI
National Provider Identifier
1003667254
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ABYRIDE LLC
Practice address
31 Buckingham St SW
Grand Rapids, MI 49548-1163
Phone
(616) 633-7026
NPI assigned
Mar 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sadiki Leonald Rukara
Title
Owner
Phone
(616) 633-7026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

31 Buckingham St SW
Grand Rapids, MI 49548-1163

Mailing address

31 Buckingham St SW
Grand Rapids, MI 49548-1163
Phone (616) 633-7026

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1003667254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BUCKINGHAM ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495481163",
            "telephone_number": "616-633-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 BUCKINGHAM ST SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495481163",
            "telephone_number": "616-633-7026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABYRIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-27",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "RUKARA",
        "authorized_official_first_name": "SADIKI",
        "authorized_official_middle_name": "LEONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-633-7026"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.