Stacey Harris

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

35-2578452 Issued in MI

Practice address

21 S Beechtree St
Grand Haven, MI 49417-1603

Phone

(616) 414-9440

Fax

(844) 364-2565

NPI assigned

Jan 10, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• TLC in-Home Services, LLC

  • Home Health Agency
  • Muskegon, MI
  • NPI 1851804074
  NPD

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1124564448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 S BEECHTREE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "49417",
            "telephone_number": "616-414-9440",
            "fax_number": "844-364-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 S BEECHTREE ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171603",
            "telephone_number": "616-414-9440",
            "fax_number": "844-364-2565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13856 Sugarbush Ln",
            "address_purpose": "LOCATION",
            "city": "Grand Haven",
            "state": "MI",
            "postal_code": "494177725",
            "country_code": "US",
            "telephone_number": "231-557-1003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "STACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "35-2578452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Gene Harrington, PT, DPT
• Kara Harrington, PT, DPT
• Katelyn Harrington, SLP
• Barbara M Harris, MSW CLINICAL LICENSE
• Hayden Harris
• Rhonda J Hart, PTA, OTA
• Harvey Chiropractic, LLC
• Laila Harvey
• Olivia Harvitt
• Edward A Hatt, MD

• Home Health Agency in Grand Haven, MI
• Providers in Grand Haven, 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 Jun 16, 2018; 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.