Active NPI
Community
- In Home Supportive Care Agency
- Grand Rapids, MI
National Provider Identifier
1396404240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- COMMUNITY
- Practice address
- 225 Corinne St SW
Grand Rapids, MI 49507-1536 - Phone
- (616) 427-4570
- NPI assigned
- Dec 8, 2021
- Organization subpart
- Yes
- Parent organization
- COMMUNITY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raekesha McMillian, ETC
- Title
- Owner
- Phone
- (616) 427-4570
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) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
225 Corinne St SW
Grand Rapids, MI 49507-1536
Mailing address
1232 Kalamazoo Ave SE
Grand Rapids, MI 49507-1923
Phone (616) 427-4570
Other names 1
- community
National Provider Directory
National Provider Directory- Part of
- Community
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Assisted Living Facility (Behavioral Disturbances)
- Grand Rapids, MI
- NPI 1053837922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638921600000",
"number": "1396404240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1232 KALAMAZOO AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495071923",
"telephone_number": "616-427-4570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 CORINNE ST SW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495071536",
"telephone_number": "616-427-4570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COMMUNITY",
"enumeration_date": "2021-12-08",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A",
"authorized_official_last_name": "MCMILLIAN",
"authorized_official_first_name": "RAEKESHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-427-4570",
"authorized_official_credential": "ETC"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "community",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "community",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Grand Rapids, MI
- Jordan Andrew Combs, M.D.
- Come Home Counseling PLLC
- Stephanie Commings, M.D.
- Common Ground Counseling and Wellness LLC
- Communication Matters, LLC
- Community Birth Group
- Community Care Affordable & Supportive Housing LLC
- Community Caregivers
- Community Home Care Services Inc.
- Community Recovery Counseling Center, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.