Organization Active NPI

Praying Hands Home Care LLC Thanks

Doing business as Praying Hands Home Care LLC

  • Home Health Agency
  • Grand Rapids, MI
National Provider Identifier
1225547920
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRAYING HANDS HOME CARE LLC THANKS
Doing business as
Praying Hands Home Care LLC
Practice address
4922 Division Ave S Ste 4
Grand Rapids, MI 49548-4496
Phone
(616) 608-3150
NPI assigned
Sep 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Shawnell Laticha Raheem
Title
Owner
Phone
(616) 608-3150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4922 Division Ave S Ste 4
Grand Rapids, MI 49548-4496

Mailing address

4922 Division Ave S Ste 4
Grand Rapids, MI 49548-4496
Phone (616) 608-3150

Other identifiers 1

IdentifierTypeStateIssuer
8265973MedicaidMI

Other names 1

  • Praying Hands Home Care LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225547920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 DIVISION AVE S STE 4",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495484496",
            "telephone_number": "616-608-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 DIVISION AVE S STE 4",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495484496",
            "telephone_number": "616-608-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAYING HANDS HOME CARE LLC THANKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RAHEEM",
        "authorized_official_first_name": "SHAWNELL",
        "authorized_official_middle_name": "LATICHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-608-3150"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8265973",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Praying Hands Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 21, 2022; 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.