Reeman Christian Reformed Church

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

REEMAN CHRISTIAN REFORMED CHURCH

Practice address

6121 S Fitzgerald Ave
Fremont, MI 49412-9120

Phone

(231) 638-8786

NPI assigned

Mar 16, 2020

Last updated

Mar 16, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

REEMAN CHRISTIAN REFORMED CHURCHAs reported in NPPES

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

Authorized official

Name

Tammy CowleyNPI 1013562677

Title

Business Manager

Phone

(231) 638-8786

Specialties & licenses 1

Addresses

Other names 1

• Wellspring Adult Day Services Other name

Part of

Reeman Christian Reformed Church

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tammy Cowley

  • Adult Day Care Clinic/Center
  • Fremont, MI
  • NPI 1013562677
  NPD Authorized official

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584316800000",
    "number": "1205462850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 S FITZGERALD AVE",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494129120",
            "telephone_number": "231-638-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 S FITZGERALD AVE",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494129120",
            "telephone_number": "231-638-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEMAN CHRISTIAN REFORMED CHURCH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REEMAN CHRISTIAN REFORMED CHURCH",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A",
        "authorized_official_last_name": "COWLEY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "231-638-8786"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspring Adult Day Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• JC Ransom, LMSW
• David Gerald Raquet, MA LMFT, LLP
• Kira Lynn Raquet
• Jennifer Raymo, CPHT
• Mary Louise Redding
• Regional Psychology and Wellness, LLC
• Donald B. Reinders, M.D.
• Retirement Living Management of Fremont, L.L.C. (Green Acres of Fremont)
• Jennifer Renee Rigg, NP
• Ruth Riggle, R.N.

• Adult Day Care Clinic/Center in Fremont, MI
• Providers in Fremont, MI by specialty
• Adult Day Care Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.