Organization Active NPI

Mitten Home Infusion

  • Infusion Therapy Registered Nurse
  • Ada, MI
National Provider Identifier
1497530539
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Registered NurseTaxonomy code 163WI0500X
Legal business name
MITTEN HOME INFUSION
Practice address
5695 Grand River Dr NE
Ada, MI 49301-8662
Phone
(616) 308-2473
NPI assigned
Aug 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Chantel Grant, RN BSNNPI 1215635719
Title
Executive Director, Nursing Operati
Phone
(616) 308-2473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WI0500X Primary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X

Addresses

Primary practice location

5695 Grand River Dr NE
Ada, MI 49301-8662

Mailing address

5695 Grand River Dr NE
Ada, MI 49301-8662
Phone (616) 308-2473

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1497530539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5695 GRAND RIVER DR NE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018662",
            "telephone_number": "616-308-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5695 GRAND RIVER DR NE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018662",
            "telephone_number": "616-308-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITTEN HOME INFUSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "CHANTEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, NURSING OPERATI",
        "authorized_official_telephone_number": "616-308-2473",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, MI

Sources for this page

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