Aj Home Care Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AJ HOME CARE INC.

Doing business as

ComForcare Senior Services

Practice address

6810 Old 28TH St SE Ste 2
Grand Rapids, MI 49546-6932

Phone

(616) 285-7000

Fax

(616) 285-7171

NPI assigned

Jun 21, 2010

Last updated

Jun 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alicia A Junghans

Title

President

Phone

(616) 285-7000

Specialties & licenses 2

Addresses

Other names 1

• ComForcare Senior Services Doing business as

Locations

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1225359649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 OLD 28TH ST SE STE 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466932",
            "telephone_number": "616-285-7000",
            "fax_number": "616-285-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 OLD 28TH ST SE STE 2",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466932",
            "telephone_number": "616-285-7000",
            "fax_number": "616-285-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJ HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "JUNGHANS",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-285-7000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ComForcare Senior Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.