Organization Active NPI

Savi-K

  • Adult Care Home Facility
  • Grand Rapids, MI
National Provider Identifier
1114467909
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
AF410282195 Issued in MI
Legal business name
SAVI-K
Practice address
3824 Walker Ave NW
Grand Rapids, MI 49544-9705
Phone
(616) 570-0046
Fax
(616) 570-0046
NPI assigned
Feb 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Sabri Balla
Title
Owner
Phone
(616) 570-0046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AF410282195 MI Primary

Addresses

Primary practice location

3824 Walker Ave NW
Grand Rapids, MI 49544-9705

Mailing address

3824 Walker Ave NW
Grand Rapids, MI 49544-9705
Phone (616) 570-0046

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1114467909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 WALKER AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495449705",
            "telephone_number": "616-570-0046",
            "fax_number": "616-570-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 WALKER AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495449705",
            "telephone_number": "616-570-0046",
            "fax_number": "616-570-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVI-K",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "BALLA",
        "authorized_official_first_name": "SABRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-570-0046"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AF410282195",
            "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 Feb 28, 2017; 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.