Community Care Affordable & Supportive Housing LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMMUNITY CARE AFFORDABLE & SUPPORTIVE HOUSING LLC

Practice address

77 Monroe Center St NW Ste 600
Grand Rapids, MI 49503-2911

Phone

(616) 514-2609

NPI assigned

Aug 17, 2023

Organization subpart

No

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

Authorized official

Name

Jerica Buchanan

Title

Owner

Phone

(616) 514-2609

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1043093404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MONROE CENTER ST NW STE 600",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032911",
            "telephone_number": "616-514-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MONROE CENTER ST NW STE 600",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032911",
            "telephone_number": "616-514-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE AFFORDABLE & SUPPORTIVE HOUSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "JERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-514-2609"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; 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.