Organization Active NPI

Patient First Home Care, Inc.

  • Home Health Agency
  • Grand Rapids, MI
National Provider Identifier
1639223423
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
23-7616 Issued in MI
Legal business name
PATIENT FIRST HOME CARE, INC.
Practice address
2660 Horizon Dr SE
Suite 130
Grand Rapids, MI 49546-7527
Phone
(616) 608-6246
Fax
(616) 608-6284
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Authorized official

Name
Mr. Wasim Iqbal
Title
President
Phone
(616) 608-6246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 23-7616 MI Primary

Addresses

Primary practice location

2660 Horizon Dr SE
Suite 130
Grand Rapids, MI 49546-7527

Mailing address

2660 Horizon Dr SE
Suite 130
Grand Rapids, MI 49546-7527
Phone (616) 608-6246

Other identifiers 2

IdentifierTypeStateIssuer
15-4968381MedicaidMI
7404893OtherAETNA

National Provider Directory

National Provider Directory

Locations

2660 Horizon Dr SE
Ste 130
Grand Rapids, MI 49546
Phone (616) 608-6246

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1639223423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 HORIZON DR SE",
            "address_2": "SUITE 130",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467527",
            "telephone_number": "616-608-6246",
            "fax_number": "616-608-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 HORIZON DR SE",
            "address_2": "SUITE 130",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467527",
            "telephone_number": "616-608-6246",
            "fax_number": "616-608-6284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT FIRST HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "WASIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-608-6246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "23-7616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15-4968381",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7404893",
            "state": null
        }
    ],
    "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 Aug 1, 2014; 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.