NPIMap

Organization Active NPI

Faith Palliative Care

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Grand Rapids, MI
National Provider Identifier
1497014476
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X
Legal business name
FAITH PALLIATIVE CARE
Practice address
2100 Raybrook St SE Ste 100
Grand Rapids, MI 49546-5782
Phone
(616) 235-5101
NPI assigned
May 10, 2012
Last updated
Jul 14, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
FAITH HOSPICEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Mr. Adam Kinder
Title
Chief Financial Officer
Phone
(616) 235-5015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081H0002X Primary

Addresses

Primary practice location

2100 Raybrook St SE Ste 100
Grand Rapids, MI 49546-5782

Mailing address

2100 Raybrook St SE Ste 100
Grand Rapids, MI 49546-5782
Phone (616) 235-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120420000348 MI Part B Supplier - Clinic/Group Practice 9436102845 Receives reassigned benefits from 19 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Byron Center, MI; Grand Rapids, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

  • Faith Hospice

    dba Hospice of Holland Home and Faith Hospice at Trillium Woods

    • Community Based Hospice Care Agency
    • Byron Center, MI
    • NPI 1790739282

    O20120420000348

    Same enrollment

National Provider Directory

National Provider Directory
Part of
Faith Hospice

Locations

2025 E Beltline Ave SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 235-5101

2100 Raybrook St SE
Grand Rapids, MI 49546
Phone (616) 235-4663

2100 Raybrook St SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 235-5101

2121 Raybrook St SE
Grand Rapids, MI 49546
Phone (616) 235-5002

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

  • Faith Hospice

    dba Hospice of Holland Home and Faith Hospice at Trillium Woods

    • Community Based Hospice Care Agency
    • Byron Center, MI
    • NPI 1790739282
    NPPES parent name

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1497014476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 RAYBROOK ST SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465782",
            "telephone_number": "616-235-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 RAYBROOK ST SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495465782",
            "telephone_number": "616-235-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH PALLIATIVE CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAITH HOSPICE",
        "enumeration_date": "2012-05-10",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "KINDER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "616-235-5015",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.