Harbor Rehabilitation LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HARBOR REHABILITATION LLC

Practice address

22 Jefferson Ave SE
Grand Rapids, MI 49503-4304

Phone

(616) 643-0833

Fax

(616) 643-0844

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Theresa Renker, MS CCC SLP

Title

Director

Phone

(616) 643-0833

Specialties & licenses 1

Addresses

Other names 1

• HARBOR REHABILITATION INC Former legal business name

Locations

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1689748972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150272",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495150272",
            "telephone_number": "616-643-0833",
            "fax_number": "616-643-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 JEFFERSON AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034304",
            "telephone_number": "616-643-0833",
            "fax_number": "616-643-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "RENKER",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "616-643-0833",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARBOR REHABILITATION INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.