Organization Active NPI

Home Safe Home Michigan, Inc.

  • Occupational Therapist
  • Wyoming, MI
National Provider Identifier
1598485922
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
HOME SAFE HOME MICHIGAN, INC.
Practice address
2290 28TH St SW Ste B
Wyoming, MI 49519-2305
Phone
(616) 226-5577
NPI assigned
Aug 29, 2022
Last updated
Nov 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Cassandra Dietz, OTRNPI 1386936094
Title
Owner
Phone
(616) 262-1222

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

2290 28TH St SW Ste B
Wyoming, MI 49519-2305

Mailing address

2290 28TH St SW Ste B
Wyoming, MI 49519-2305
Phone (616) 226-5577

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231116000825 MI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7416304209 Receives reassigned benefits from 1 practitioner
Practice locations: Rockford, MI

National Provider Directory

National Provider Directory

Locations

2290 28th St SW
Ste B
Wyoming, MI 49519
Phone (616) 226-5577

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1598485922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2290 28TH ST SW STE B",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495192305",
            "telephone_number": "616-226-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2290 28TH ST SW STE B",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495192305",
            "telephone_number": "616-226-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME SAFE HOME MICHIGAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "DIETZ",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-262-1222",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.