Valkyrie F Sakshaug

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

AF410290158 Issued in MI

Practice address

9371 Westview Dr SE
Byron Center, MI 49315-9324

Phone

(616) 877-4131

Fax

(616) 877-4231

NPI assigned

Dec 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mike'S Way Inc

  • Adult Care Home Facility
  • Grand Rapids, MI
  • NPI 1851893176
  NPD (past)

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1417668542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 RIDGE LN SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495194291",
            "telephone_number": "616-443-0956",
            "fax_number": "616-719-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9371 WESTVIEW DR SE",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159324",
            "telephone_number": "616-877-4131",
            "fax_number": "616-877-4231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1315 Texas St NW",
            "address_purpose": "LOCATION",
            "city": "Walker",
            "state": "MI",
            "postal_code": "495441746",
            "country_code": "US",
            "telephone_number": "616-805-5771",
            "fax_number": "616-419-3639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1552 Robinson Rd SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495061748",
            "country_code": "US",
            "telephone_number": "616-608-4078",
            "fax_number": "616-608-6832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1259 Rathbone St SW",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495091075",
            "country_code": "US",
            "telephone_number": "616-432-3005",
            "fax_number": "616-805-4003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAKSHAUG",
        "first_name": "VALKYRIE",
        "middle_name": "F",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS410415000",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS410414999",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS410414998",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AF410290158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Anne Rusticus, NP
• Kyleigh Rutgers
• Jennifer Ashley Saed, LLPC
• Sakshaug Group Home
• Sakshaug Group Homes LLC
• Amy Naslund Sanborn, DO
• Geoffrey A Sandman, M.D.
• Laura Schipper, NP
• Deborah Schuitema, O.T.R.
• Elizabeth Leigh Schuurman

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Byron Center, MI
• Providers in Byron Center, MI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.