Organization Active NPI

Genesis Non-Profit Housing Corporation

Doing business as Heron Woods Apartments

  • In Home Supportive Care Agency
  • Grand Rapids, MI
National Provider Identifier
1366878340
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GENESIS NON-PROFIT HOUSING CORPORATION
Doing business as
Heron Woods Apartments
Practice address
2110 Leonard St NE
Grand Rapids, MI 49505-5830
Phone
(616) 454-9603
NPI assigned
Sep 23, 2013
Last updated
Sep 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Sharon Vanderkodde
Title
Administrative Assistant
Phone
(616) 988-2897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2110 Leonard St NE
Grand Rapids, MI 49505-5830

Mailing address

528 Bridge St NW
Suite 6
Grand Rapids, MI 49504-5349

Other names 1

  • Heron Woods Apartments Doing business as

National Provider Directory

National Provider Directory

Locations

528 Bridge St NW
Ste 6
Grand Rapids, MI 49504

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1366878340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 BRIDGE ST NW",
            "address_2": "SUITE 6",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 LEONARD ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055830",
            "telephone_number": "616-454-9603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS NON-PROFIT HOUSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "VANDERKODDE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "616-988-2897"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heron Woods Apartments",
            "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 Sep 23, 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.