Organization Active NPI

Little Red House Inc.

  • Adult Day Care Clinic/Center
  • Spring Lake, MI
National Provider Identifier
1275975179
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
LITTLE RED HOUSE INC.
Practice address
311 E Exchange St
Spring Lake, MI 49456-2022
Phone
(616) 846-5720
Fax
(616) 935-0688
NPI assigned
Jul 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Ms. Jody B Herrelko
Title
Executive Director
Phone
(616) 846-5720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

311 E Exchange St
Spring Lake, MI 49456-2022

Mailing address

311 E Exchange St
Spring Lake, MI 49456-2022
Phone (616) 846-5720

Other identifiers 1

IdentifierTypeStateIssuer
154433127/3YMV1OtherSAM

National Provider Directory

National Provider Directory

Locations

311 E Exchange St
Spring Lake, MI 49456
Phone (616) 846-5720

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1275975179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E EXCHANGE ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562022",
            "telephone_number": "616-846-5720",
            "fax_number": "616-935-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E EXCHANGE ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562022",
            "telephone_number": "616-846-5720",
            "fax_number": "616-935-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE RED HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "HERRELKO",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-846-5720",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAM",
            "identifier": "154433127/3YMV1",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.