Active NPI
Community Home Health Care of West Michigan, Inc
- Family Medicine Physician
- Muskegon, MI
National Provider Identifier
1386248052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COMMUNITY HOME HEALTH CARE OF WEST MICHIGAN, INC
- Practice address
- 1519 E River Rd Ste a
Muskegon, MI 49445-8591 - Phone
- (231) 733-0030
- NPI assigned
- Nov 24, 2020
- 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
- Isaac J Leestma
- Title
- Administrator
- Phone
- (616) 821-3485
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1519 E River Rd Ste a
Muskegon, MI 49445-8591
Mailing address
1519 E River Rd Ste a
Muskegon, MI 49445-8591
Other names 1
- LifeCare at Home
National Provider Directory
National Provider DirectoryLocations
102 S Whittaker St
New Buffalo, MI 49117
Phone (269) 469-0847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606176000000",
"number": "1386248052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1519 E RIVER RD STE A",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494458591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1519 E RIVER RD STE A",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494458591",
"telephone_number": "231-733-0030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY HOME HEALTH CARE OF WEST MICHIGAN, INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A",
"authorized_official_last_name": "LEESTMA",
"authorized_official_first_name": "ISAAC",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "616-821-3485"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LifeCare at Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.