Organization Active NPI

North Ottawa Community Hospital

  • Home Health Agency
  • Grand Haven, MI
National Provider Identifier
1235126871
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NORTH OTTAWA COMMUNITY HOSPITAL
Practice address
1061 S Beacon Blvd
Suite 100
Grand Haven, MI 49417-2587
Phone
(616) 847-9090
NPI assigned
Sep 29, 2005
Last updated
Aug 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

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

Authorized official

Name
Mrs. Nora Boiten, RN
Title
Administrator
Phone
(616) 846-2015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1061 S Beacon Blvd
Suite 100
Grand Haven, MI 49417-2587

Mailing address

1061 S Beacon Blvd
Suite 100
Grand Haven, MI 49417-2587
Phone (616) 847-9090

Other identifiers 2

IdentifierTypeStateIssuer
1496349-15MedicaidMI
OE124OtherMIBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1235126871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 S BEACON BLVD",
            "address_2": "SUITE 100",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172587",
            "telephone_number": "616-847-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 S BEACON BLVD",
            "address_2": "SUITE 100",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172587",
            "telephone_number": "616-847-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH OTTAWA COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "BOITEN",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "616-846-2015",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1496349-15",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "OE124",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.