Homeward Bound Therapeutic Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6801061511 Issued in MI

Legal business name

HOMEWARD BOUND THERAPEUTIC SERVICES

Practice address

436 44TH St SE
Suite C
Grand Rapids, MI 49548-4371

Phone

(616) 560-0019

Fax

(616) 233-0630

NPI assigned

Jul 31, 2015

Last updated

Jul 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ronald L Grooters, LMSW, ACSW

Title

Ceo/President

Phone

(616) 560-0019

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1104202209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 PROVIDENCE COVE CT",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159149",
            "telephone_number": "616-560-0019",
            "fax_number": "616-233-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 44TH ST SE",
            "address_2": "SUITE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495484371",
            "telephone_number": "616-560-0019",
            "fax_number": "616-233-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEWARD BOUND THERAPEUTIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "GROOTERS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "616-560-0019",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801061511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home Care Service Staffing Inc.
• Home Connection Therapy LLC
• Home Health Depot, Inc.
• Home Hemo Partners
• Home Repair Services of Kent County, Inc.
• Dakota Homfeld
• Zachary Cohen Hommer, MD
• Jenna Homminga
• Shelley Homolka, MA, LPC
• Barbara J Homrich, MA LLP

• Community/Behavioral Health Agency in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.