Organization Active NPI

Comprehensive Health and Home Care Services LLC

  • Adult Mental Health Clinic/Center
  • Grand Rapids, MI
National Provider Identifier
1205442142
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
COMPREHENSIVE HEALTH AND HOME CARE SERVICES LLC
Practice address
2505 Burton St SE Ste 102a
Grand Rapids, MI 49546-4804
Phone
(616) 431-1267
NPI assigned
Sep 16, 2020
Last updated
Oct 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Authorized official

Name
Summer Williams
Title
Ceo
Phone
(616) 729-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

2505 Burton St SE Ste 102a
Grand Rapids, MI 49546-4804

Mailing address

2505 Burton St SE Ste 102a
Grand Rapids, MI 49546-4804

National Provider Directory

National Provider Directory

Locations

2505 Burton St SE
Ste 102A
Grand Rapids, MI 49546
Phone (616) 431-1267

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603756800000",
    "number": "1205442142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 BURTON ST SE STE 102A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495464804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 BURTON ST SE STE 102A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495464804",
            "telephone_number": "616-431-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HEALTH AND HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "616-729-0303"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "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 Oct 27, 2020; 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.