Individual provider Active NPI

Juvenal Rutaramirwa

  • Home Health Aide
  • Kentwood, MI
National Provider Identifier
1477378149
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
AS410418326 Issued in MI
Practice address
4968 Stauffer Ave SE
Kentwood, MI 49508-5106
Phone
(480) 570-4843
NPI assigned
Nov 18, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X AS410418326 MI Primary

Addresses

Primary practice location

4968 Stauffer Ave SE
Kentwood, MI 49508-5106

Mailing address

448 Van Allen St SE
Grand Rapids, MI 49548-1228
Phone (480) 570-4843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AS410418326MIMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Better Living Afc LLC CurrentSince Nov 24, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1477378149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 VAN ALLEN ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495481228",
            "telephone_number": "480-570-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4968 STAUFFER AVE SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495085106",
            "telephone_number": "480-570-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTARAMIRWA",
        "first_name": "JUVENAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MI",
            "license": "AS410418326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 18, 2024; 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.