NPIMap

Organization Active NPI

Carin Hands 2

  • Adult Care Home Facility
  • Grand Rapids, MI
National Provider Identifier
1467992180
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
AS410382276 Issued in MI
Legal business name
CARIN HANDS 2
Practice address
931 Humbolt St SE
Grand Rapids, MI 49507-1429
Phone
(616) 248-3797
NPI assigned
Feb 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Ms. Deonnie T Dearmon
Title
Owner
Phone
(616) 248-3797

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AS410382276 MI Primary

Addresses

Primary practice location

931 Humbolt St SE
Grand Rapids, MI 49507-1429

Mailing address

931 Humbolt St SE
Grand Rapids, MI 49507-1429
Phone (616) 248-3797

Other identifiers 1

IdentifierTypeStateIssuer
311ZA0620XMedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1467992180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 HUMBOLT ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495071429",
            "telephone_number": "616-248-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 HUMBOLT ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495071429",
            "telephone_number": "616-248-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARIN HANDS 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "DEARMON",
        "authorized_official_first_name": "DEONNIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-248-3797",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS410382276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311ZA0620X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.