Organization Active NPI

Harbor House Ministries, Inc

  • Adult Care Home Facility
  • Jenison, MI
National Provider Identifier
1346517695
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
AM700257038 Issued in MI
Legal business name
HARBOR HOUSE MINISTRIES, INC
Practice address
919 44TH Ave
Jenison, MI 49428-9193
Phone
(616) 797-9920
Fax
(616) 797-9921
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Mrs. Renee Michelle Veltema
Title
Secretary, Board of Directors
Phone
(616) 797-9920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AM700257038 MI Primary

Addresses

Primary practice location

919 44TH Ave
Jenison, MI 49428-9193

Mailing address

919 44TH Ave
Jenison, MI 49428-9193
Phone (616) 797-9920

National Provider Directory

National Provider Directory

Locations

919 44th Ave
Jenison, MI 49428
Phone (616) 797-9920

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1346517695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 44TH AVE",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289193",
            "telephone_number": "616-797-9920",
            "fax_number": "616-797-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 44TH AVE",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289193",
            "telephone_number": "616-797-9920",
            "fax_number": "616-797-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOUSE MINISTRIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "VELTEMA",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "SECRETARY, BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "616-797-9920",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AM700257038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenison, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.