44TH Home Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

44TH HOME CARE LLC

Practice address

2720 44TH St SE
Kentwood, MI 49512-3805

Phone

(616) 455-6789

NPI assigned

Mar 9, 2017

Organization subpart

No

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

Authorized official

Name

Annaliza Tennant

Title

President

Phone

(616) 438-4783

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1518408681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6376 GLENSTONE DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495469155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 44TH ST SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495123805",
            "telephone_number": "616-455-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "44TH HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "TENNANT",
        "authorized_official_first_name": "ANNALIZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-438-4783"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A-1 Premier Home Health Services
• Tama Abel, M.D.
• Abilitiies of Western Michigan
• Godfrey Abuya
• Wycliffe Abuya

• Adult Care Home Facility in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.