Active NPI
Community Home Care Services Inc.
- Home Health Agency
- Grand Rapids, MI
National Provider Identifier
1023317047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- COMMUNITY HOME CARE SERVICES INC.
- Practice address
- 1550 E Beltline Ave SE Ste 250
Grand Rapids, MI 49506-4364 - Phone
- (616) 949-3971
- NPI assigned
- Mar 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ruth Leestma
- Title
- Ceo
- Phone
- (231) 744-7700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1550 E Beltline Ave SE Ste 250
Grand Rapids, MI 49506-4364
Mailing address
1550 E Beltline Ave SE Ste 250
Grand Rapids, MI 49506-4364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110413000990 | MI | Part A Provider - Home Health Agency | 4385828425 | Practice locations: New Buffalo, MI |
Home health agency certification: CCN 239222
- Legal name
- COMMUNITY HOME CARE SERVICES INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 30, 2012
- Last certification
- Jun 24, 2015
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jan 29, 2004 in MI
- Enrollment address
- 7 E Clay St
Ste 5
New Buffalo, MI 49117-1414
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Community Home Care Services, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Mar 30, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
7 E Clay St
Ste 5
New Buffalo, MI 49117
Phone (269) 469-2031
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Emily Fiske | W-2 Managing Employee | May 22, 2017 | |
| Isaac J Leestma | Corporate Officer | Feb 28, 2022 | |
| Operational/Managerial Control | Feb 28, 2022 | ||
| Kendra Benstine | W-2 Managing Employee | Aug 1, 2025 | |
| Marc S Leestma | 5% Or Greater Direct Ownership Interest | Apr 1, 2011 | 50% |
| Corporate Director | Apr 1, 2011 | ||
| Ruth E Leestma | 5% Or Greater Direct Ownership Interest | Apr 1, 2011 | 50% |
| Corporate Officer | Apr 1, 2021 | ||
| Corporate Director | Apr 1, 2011 | ||
| Operational/Managerial Control | Apr 1, 2011 |
Practitioners & affiliated clinicians
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Orthopaedic Surgery Physician
- Michigan City, IN
- NPI 1821006602
Home health agency
-
- Internal Medicine Physician
- Michigan City, IN
- NPI 1407946486
Home health agency
-
- Internal Medicine Physician
- Michigan City, IN
- NPI 1841261005
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317600000000",
"number": "1023317047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 E BELTLINE AVE SE STE 250",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495064364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 E BELTLINE AVE SE STE 250",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495064364",
"telephone_number": "616-949-3971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY HOME CARE SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-16",
"last_updated": "2011-10-03",
"status": "A",
"authorized_official_last_name": "LEESTMA",
"authorized_official_first_name": "RUTH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "231-744-7700"
},
"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 Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.