Organization Active NPI

Genesis Non Profit Housing Corp.- Heron Court

  • Case Management Agency
  • Grand Rapids, MI
National Provider Identifier
1215103460
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GENESIS NON PROFIT HOUSING CORP.- HERON COURT
Practice address
1138 Heron CT NE Ofc
Grand Rapids, MI 49505-5802
Phone
(616) 855-0017
NPI assigned
May 7, 2008
Last updated
May 7, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
GENESIS NON PROFIT CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Sharon Vanderkodde
Title
Adminstrative Guru
Phone
(616) 988-2897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1138 Heron CT NE Ofc
Grand Rapids, MI 49505-5802

Mailing address

528 Bridge St NW
Grand Rapids, MI 49504-5349
Phone (616) 988-2897

National Provider Directory

National Provider Directory
Part of
Genesis Non-Profit Housing Corporation

Locations

1138 Heron Ct NE
Ofc
Grand Rapids, MI 49505
Phone (616) 855-0017

528 Bridge St NW
Grand Rapids, MI 49504

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1215103460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 BRIDGE ST NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045349",
            "telephone_number": "616-988-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 HERON CT NE OFC",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055802",
            "telephone_number": "616-855-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS NON PROFIT HOUSING CORP.- HERON COURT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS NON PROFIT CORP.",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "VANDERKODDE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "ADMINSTRATIVE GURU",
        "authorized_official_telephone_number": "616-988-2897"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "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 May 7, 2008; 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.