Organization Active NPI

Community Caregivers

  • Home Health Agency
  • Grand Rapids, MI
National Provider Identifier
1043070758
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMMUNITY CAREGIVERS
Practice address
935 Merrifield St SE
Grand Rapids, MI 49507-3337
Phone
(616) 328-4993
NPI assigned
Mar 20, 2024
Organization subpart
Yes
Parent organization
FRIENDS & FAMILY HOME CARE AGENCY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Ms. Yevette S SouleNPI 1457222028
Title
Owner
Phone
(616) 328-4993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

935 Merrifield St SE
Grand Rapids, MI 49507-3337

Mailing address

935 Merrifield St SE
Grand Rapids, MI 49507-3337
Phone (616) 328-4993

Other names 1

  • Friends & Family Home Care Agency, LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Community Caregivers

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1043070758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 MERRIFIELD ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073337",
            "telephone_number": "616-328-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 MERRIFIELD ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073337",
            "telephone_number": "616-328-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CAREGIVERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRIENDS & FAMILY HOME CARE AGENCY, LLC",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "SOULE",
        "authorized_official_first_name": "YEVETTE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-328-4993",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Friends & Family Home Care Agency, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 20, 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.