NPIMap

Organization Active NPI

Grand River Health System Corporation

  • Personal Care Attendant
  • Chillicothe, MO
National Provider Identifier
1457546111
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
GRAND RIVER HEALTH SYSTEM CORPORATION
Practice address
498 Park LN
Chillicothe, MO 64601-1551
Phone
(660) 646-2199
NPI assigned
Sep 6, 2007
Organization subpart
Yes
Parent organization
GRAND RIVER HEALTH SYSTEM CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Brian J Johnston
Title
Ceo
Phone
(660) 646-1480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

498 Park LN
Chillicothe, MO 64601-1551

Mailing address

498 Park LN
Chillicothe, MO 64601-1551
Phone (660) 646-2199

Other identifiers 1

IdentifierTypeStateIssuer
261966305MedicaidMO

Other names 1

  • Hedrick Medical Center Home Health Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grand River Health System Corporation8 organizations share this tax ID, including this one
Part of
Grand River Health System Corporation

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

498 Park Ln
Chillicothe, MO 64601
Phone (660) 646-2199

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1457546111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 PARK LN",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646011551",
            "telephone_number": "660-646-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 PARK LN",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646011551",
            "telephone_number": "660-646-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND RIVER HEALTH SYSTEM CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRAND RIVER HEALTH SYSTEM CORPORATION",
        "enumeration_date": "2007-09-06",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "660-646-1480"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261966305",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hedrick Medical Center Home Health Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chillicothe, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.