Active NPI
New Beginnings
- Early Intervention Provider Agency
- Grand Rapids, MI
National Provider Identifier
1356654503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 6802086484
- Legal business name
- NEW BEGINNINGS
- Practice address
- 1119 Burton St SE
Grand Rapids, MI 49507-3367 - Phone
- (616) 632-4407
- NPI assigned
- Jul 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melanie Nicole Davis, BSW
- Title
- Care Coordinator
- Phone
- (616) 632-4407
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 6802086484 | MI | Primary |
Addresses
Primary practice location
1119 Burton St SE
Grand Rapids, MI 49507-3367
Mailing address
4490 Springmont Dr SE
Kentwood, MI 49512-5372
Phone (616) 632-4407
National Provider Directory
National Provider Directory- Tax ID family
- New Beginnings
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Grand Rapids, MI
- NPI 1861819567
-
- Early Intervention Provider Agency
- Grand Rapids, MI
- NPI 1619281813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280793600000",
"number": "1356654503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4490 SPRINGMONT DR SE",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "495125372",
"telephone_number": "616-632-4407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 BURTON ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495073367",
"telephone_number": "616-632-4407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW BEGINNINGS",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-16",
"last_updated": "2010-08-03",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "MELANIE",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "CARE COORDINATOR",
"authorized_official_telephone_number": "616-632-4407",
"authorized_official_credential": "BSW"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "MI",
"license": "6802086484",
"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 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.