Active NPI
Michigan Home Rehabilitation L.L.C.
Doing business as At Home Rehab
- Home Health Agency
- Jenison, MI
National Provider Identifier
1447774674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MICHIGAN HOME REHABILITATION L.L.C.
- Doing business as
- At Home Rehab
- Practice address
- 501 Baldwin St Ste 203
Jenison, MI 49428-6904 - Phone
- (800) 880-9715
- Fax
- (888) 830-2614
- NPI assigned
- Jul 31, 2017
- 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
- Robert Doss
- Title
- President
- Phone
- (616) 827-7715
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
501 Baldwin St Ste 203
Jenison, MI 49428-6904
Mailing address
501 Baldwin St Ste 203
Jenison, MI 49428-6904
Phone (800) 880-7715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912139288 | Other | MI | NPI |
Other names 1
- At Home Rehab
Care Compare: Home health agency
Medicare Care Compare- Listed as
- At Home Rehab
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jul 27, 2011
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
National Provider Directory
National Provider DirectoryLocations
501 Baldwin St
Ste 203
Jenison, MI 49428
Phone (800) 880-9715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640131200000",
"number": "1447774674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 BALDWIN ST STE 203",
"city": "JENISON",
"state": "MI",
"postal_code": "494286904",
"telephone_number": "800-880-7715",
"fax_number": "888-830-2614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 BALDWIN ST STE 203",
"city": "JENISON",
"state": "MI",
"postal_code": "494286904",
"telephone_number": "800-880-9715",
"fax_number": "888-830-2614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHIGAN HOME REHABILITATION L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-31",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A",
"authorized_official_last_name": "DOSS",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "616-827-7715"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1912139288",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "At Home Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Jenison, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.