Organization Active NPI

Homebound Wellness Solutions, P.C.

  • Family Medicine Physician
  • Muskegon, MI
National Provider Identifier
1407870009
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOMEBOUND WELLNESS SOLUTIONS, P.C.
Practice address
5828 Jefferson Ave
Muskegon, MI 49442-1958
Phone
(231) 457-7735
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Kathy Lynn Rosema, D.O.
Title
Director
Phone
(231) 457-7735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MI Primary

Addresses

Primary practice location

5828 Jefferson Ave
Muskegon, MI 49442-1958

Mailing address

5828 Jefferson Ave
Muskegon, MI 49442-1958
Phone (231) 457-7735

Other identifiers 3

IdentifierTypeStateIssuer
5101009504OtherMIMEDICAL LICENSE
5611066OtherMIBCBS OF MICHIGAN
5611066OtherMICAQH

National Provider Directory

National Provider Directory

Locations

1771 Wells Ave
Muskegon, MI 49442
Phone (231) 767-9792

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1407870009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5828 JEFFERSON AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494421958",
            "telephone_number": "231-457-7735",
            "fax_number": "231-788-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5828 JEFFERSON AVE",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494421958",
            "telephone_number": "231-457-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEBOUND WELLNESS SOLUTIONS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ROSEMA",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "231-457-7735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "5101009504",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "5611066",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "5611066",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 7, 2023; 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.