Organization Active NPI

G4 Specialist LLC

  • In Home Supportive Care Agency
  • Emmett, MI
National Provider Identifier
1114822194
Registry record updated Oct 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
G4 SPECIALIST LLC
Practice address
10875 Brennan Rd
Emmett, MI 48022-3306
Phone
(810) 531-8104
NPI assigned
Oct 10, 2026
Last updated
Oct 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2026

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

Authorized official

Name
Kristine L Gustke
Title
Owner
Phone
(810) 531-8104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

10875 Brennan Rd
Emmett, MI 48022-3306

Mailing address

10875 Brennan Rd
Emmett, MI 48022-3306
Phone (810) 531-8104

NPI Registry JSON

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

{
    "created_epoch": "1791590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791590400000",
    "number": "1114822194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10875 BRENNAN RD",
            "city": "EMMETT",
            "state": "MI",
            "postal_code": "480223306",
            "telephone_number": "810-531-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10875 BRENNAN RD",
            "city": "EMMETT",
            "state": "MI",
            "postal_code": "480223306",
            "telephone_number": "810-531-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G4 SPECIALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-10",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-10",
        "status": "A",
        "authorized_official_last_name": "GUSTKE",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-531-8104"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmett, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.