Organization Active NPI

Community Home Health Care of West Michigan, Inc

  • Family Medicine Physician
  • Muskegon, MI
National Provider Identifier
1386248052
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Nov 24, 2020

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.