Organization Active NPI

Staff Care

  • Critical Access Hospital
  • Grand Rapids, MI
National Provider Identifier
1376763896
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
STAFF CARE
Practice address
100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone
(606) 964-4200
NPI assigned
Apr 26, 2007
Last updated
Oct 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Ms. Yvette M. George, CRNANPI 1164611240
Title
Staff Crna
Phone
(773) 640-6853

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X IL Primary

Addresses

Primary practice location

100 Michigan St NE
Grand Rapids, MI 49503-2560

Mailing address

105F Stonebrook PL # 417
Jackson, TN 38305-3636
Phone (773) 640-6853

National Provider Directory

National Provider Directory

Locations

105 Stonebrook Pl
Ste F
Jackson, TN 38305
Phone (773) 640-6853

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1376763896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105F STONEBROOK PL # 417",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053636",
            "telephone_number": "773-640-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "606-964-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFF CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "STAFF  CRNA",
        "authorized_official_telephone_number": "773-640-6853",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IL",
            "license": null,
            "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 Oct 17, 2008; 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.