Home Connection Therapy LLC
Organization Active NPI Occupational Therapist · Grand Rapids, MI
NPI 1265005151 · NPPES record last updated Aug 23, 2024
Key facts
- NPI
- 1265005151
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- Legal business name
- HOME CONNECTION THERAPY LLC
- Practice address
- 1232 Griswold St SE
Grand Rapids, MI 49507-3815 - Phone
- (616) 890-8660
- NPI assigned
- Jul 20, 2021
- Organization subpart
- No
Authorized official
- Name
- Lauren Vanderlaan, MS, OTR/L, CCM
- Title
- Managing Member / Owner
- Phone
- (616) 890-8660
Practitioners 8
-
Rita Kais Graham, PT
-
Stephanie Osborn, DPT
-
Jennifer Wolffis, PT
-
Diana Lynn Langdon, OTR
-
Lauren Vanderlaan, OTR/L
-
Kristen Haugh, PT
-
Jacob Holt, PT, DPT, AT, ATC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210728000916 | MI | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7113320144 |
Receives reassigned benefits from 5 practitioners Practice locations: Grand Rapids, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | Yes |
Addresses
Primary practice location
1232 Griswold St SE
Grand Rapids, MI 49507-3815
Mailing address
1232 Griswold St SE
Grand Rapids, MI 49507-3815
Phone (616) 890-8660
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265005151 | Other | MI | GROUP NPI |
Other providers in Grand Rapids, MI
- David Andrew Homa
- Home Advantage Dialysis
- Home Care by Design Inc.
- Home Care of Michigan Inc
- Home Care Service Staffing Inc.
- Home Health Depot, Inc.
- Home Hemo Partners
- Home Repair Services of Kent County, Inc.
- Homeward Bound Therapeutic Services
- Dakota Homfeld
All providers in Grand Rapids, MI · Occupational Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.