Organization Active NPI

Sable Home Care LLC

Doing business as Sable Home Care

  • Home Health Agency
  • Grand Rapids, MI
National Provider Identifier
1366209991
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SABLE HOME CARE LLC
Doing business as
Sable Home Care
Practice address
6157 28TH St SE Ste 17a
Grand Rapids, MI 49546-6947
Phone
(616) 755-1868
NPI assigned
Feb 29, 2024
Last updated
Feb 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Emma Clark
Title
Owner
Phone
(616) 755-1868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6157 28TH St SE Ste 17a
Grand Rapids, MI 49546-6947

Mailing address

6157 28TH St SE Ste 17a
Grand Rapids, MI 49546-6947
Phone (616) 755-1868

Other names 1

  • Sable Home Care Doing business as

National Provider Directory

National Provider Directory

Locations

6157 28th St SE
Ste 17A
Grand Rapids, MI 49546
Phone (616) 755-1868

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1366209991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6157 28TH ST SE STE 17A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466947",
            "telephone_number": "616-755-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6157 28TH ST SE STE 17A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466947",
            "telephone_number": "616-755-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABLE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-755-1868"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sable Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 29, 2024; 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.