Organization Active NPI

Home Connection Therapy LLC

  • Occupational Therapist
  • Grand Rapids, MI
National Provider Identifier
1265005151
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 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
Last updated
Aug 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Authorized official

Name
Lauren Vanderlaan, MS, OTR/L, CCMNPI 1295241370
Title
Managing Member / Owner
Phone
(616) 890-8660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1265005151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 GRISWOLD ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073815",
            "telephone_number": "616-890-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 GRISWOLD ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073815",
            "telephone_number": "616-890-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CONNECTION THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-20",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "VANDERLAAN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "MANAGING MEMBER / OWNER",
        "authorized_official_telephone_number": "616-890-8660",
        "authorized_official_credential": "MS, OTR/L, CCM"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.