MW Memory Care, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MW MEMORY CARE, INC.

Practice address

11629 Northland Dr NE
Suite 300
Rockford, MI 49341-7211

Phone

(616) 863-9999

Fax

(616) 863-9990

NPI assigned

Feb 28, 2013

Organization subpart

No

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

Authorized official

Name

Mindi Willett

Title

President/Administrator

Phone

(616) 863-9999

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1235479197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11629 NORTHLAND DR NE",
            "address_2": "SUITE 300",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417211",
            "telephone_number": "616-863-9999",
            "fax_number": "616-863-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11629 NORTHLAND DR NE",
            "address_2": "SUITE 300",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417211",
            "telephone_number": "616-863-9999",
            "fax_number": "616-863-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MW MEMORY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "WILLETT",
        "authorized_official_first_name": "MINDI",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "616-863-9999"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Morehouse-Potter, RBT
• Kara Morley-Smolek, MD
• Marty Jay Mortimer, PA-C
• Justine Marie Mucinski
• Karen M Munger, PT
• Bryce Myers, BEHAVIOR TECHNICIAN
• Myeyedr Optometry of Michigan, LLC
• Elizabeth R Nasser
• Sonja Navarro, PAC
• Scott Andrew Nelson, RD

• In Home Supportive Care Agency in Rockford, MI
• Providers in Rockford, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.