Active NPI
Eric Ruvuna
- In Home Supportive Care Agency
- Grand Rapids, MI
National Provider Identifier
1639993405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ERIC RUVUNA
- Practice address
- 4595 Broadmoor Ave SE Ste 115
Grand Rapids, MI 49512-5300 - Phone
- (616) 448-6680
- NPI assigned
- Nov 8, 2024
- 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. Eric Ruvuna
- Title
- Owner
- Phone
- (616) 448-6680
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) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
4595 Broadmoor Ave SE Ste 115
Grand Rapids, MI 49512-5300
Mailing address
2650 Pheasant Run Dr SE Apt 204
Grand Rapids, MI 49512-9016
Phone (616) 448-6680
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- In Home Supportive Care Agency
- Grand Rapids, MI
- NPI 1912745100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731542400000",
"number": "1639993405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 PHEASANT RUN DR SE APT 204",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495129016",
"telephone_number": "616-448-6680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4595 BROADMOOR AVE SE STE 115",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495125300",
"telephone_number": "616-448-6680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIC RUVUNA",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-08",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A",
"authorized_official_last_name": "RUVUNA",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-448-6680",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.