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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2013
- 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
- Sharon Vanderkodde
- Title
- Administrative Assistant
- Phone
- (616) 988-2897
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
dba Genesis Non-Profit Housing Corp.
- Case Management Agency
- Walker, MI
- NPI 1992987176
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.