Organization Active NPI

At Home Memory Care

  • Nursing Care Agency
  • Cedar Springs, MI
National Provider Identifier
1104246784
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
AT HOME MEMORY CARE
Practice address
4432 16 Mile Rd NE
Cedar Springs, MI 49319-8426
Phone
(616) 690-6699
NPI assigned
Apr 22, 2014
Last updated
Apr 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Authorized official

Name
Mindi Willett-Taylor
Title
President
Phone
(616) 690-6699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

4432 16 Mile Rd NE
Cedar Springs, MI 49319-8426

Mailing address

4432 16 Mile Rd NE
Cedar Springs, MI 49319-8426
Phone (616) 690-6699

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1104246784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4432 16 MILE RD NE",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198426",
            "telephone_number": "616-690-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4432 16 MILE RD NE",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493198426",
            "telephone_number": "616-690-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME MEMORY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "WILLETT-TAYLOR",
        "authorized_official_first_name": "MINDI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-690-6699"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Springs, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.