Organization Active NPI

Acti-Kare

  • In Home Supportive Care Agency
  • Grand Rapids, MI
National Provider Identifier
1497386312
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ACTI-KARE
Practice address
1586 Hillsboro Ave SE
Grand Rapids, MI 49546-9721
Phone
(616) 490-9615
Fax
(813) 412-5952
NPI assigned
Jan 29, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Kevin Kampfschulte
Title
Director/Owner
Phone
(616) 710-3187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1586 Hillsboro Ave SE
Grand Rapids, MI 49546-9721

Mailing address

1586 Hillsboro Ave SE
Grand Rapids, MI 49546-9721
Phone (616) 490-9615

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://actikare.com/home-care-services/ Acti-Kare Inc

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1497386312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1586 HILLSBORO AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495469721",
            "telephone_number": "616-490-9615",
            "fax_number": "813-412-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1586 HILLSBORO AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495469721",
            "telephone_number": "616-490-9615",
            "fax_number": "813-412-5952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTI-KARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "KAMPFSCHULTE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "616-710-3187"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://actikare.com/home-care-services/",
            "affiliation": "Y",
            "affiliationName": "Acti-Kare Inc",
            "address_1": "17425 Bridge Hill Ct Ste 200",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336473657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 27, 2023; 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.