Active NPI
Patient First Home Care, Inc.
- Home Health Agency
- Grand Rapids, MI
National Provider Identifier
1639223423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 23-7616
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15-4968381 | Medicaid | MI | |
| 7404893 | Other | AETNA |
National Provider Directory
National Provider DirectoryLocations
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.