Organization Active NPI

Praying Hands Home Care LLC

  • Home Health Agency
  • Kentwood, MI
National Provider Identifier
1477064715
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRAYING HANDS HOME CARE LLC
Practice address
4922 Division Ave S Ste 4
Kentwood, MI 49548-4496
Phone
(616) 600-8315
Fax
(616) 608-4697
NPI assigned
Oct 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Shawnell Raheem
Title
Owner
Phone
(616) 608-3150

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Health Agency 251E00000X MI

Addresses

Primary practice location

4922 Division Ave S Ste 4
Kentwood, MI 49548-4496

Mailing address

4922 Division Ave S Ste 4
Kentwood, MI 49548-4496
Phone (616) 600-8315

Other identifiers 1

IdentifierTypeStateIssuer
8265973MedicaidMI

Other names 1

  • N/A Doing business as

National Provider Directory

National Provider Directory

Locations

4922 Division Ave S
Ste 4
Kentwood, MI 49548
Phone (616) 600-8315

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1477064715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 DIVISION AVE S STE 4",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495484496",
            "telephone_number": "616-600-8315",
            "fax_number": "616-608-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4922 DIVISION AVE S STE 4",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495484496",
            "telephone_number": "616-600-8315",
            "fax_number": "616-608-4697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAYING HANDS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "RAHEEM",
        "authorized_official_first_name": "SHAWNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-608-3150"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8265973",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.