Covenant Enabling Residences of Michigan

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

COVENANT ENABLING RESIDENCES OF MICHIGAN

Doing business as

Covenant Ability Network of Michigan

Practice address

340 Thornridge CT NW
Grand Rapids, MI 49504-5887

Phone

(616) 272-4984

NPI assigned

May 24, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Rick J Larman

Title

Executive Director

Phone

(616) 340-5942

Specialties & licenses 1

Addresses

Other names 1

• Covenant Ability Network of Michigan Doing business as

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1700314564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 FOREST PARK RD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 THORNRIDGE CT NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495045887",
            "telephone_number": "616-272-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT ENABLING RESIDENCES OF MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "LARMAN",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-340-5942",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Ability Network of Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Couturier
• Tara Couturier, RD
• Wayne Couwenhoven, MD
• Diego Jose Covarrubias, MD
• Andrew J Coveart, COTA
• Covenant Living of the Great Lakes
• Heather Marie Covey, LMSW
• Coville Counseling and Assessment
• Sarah Elizabeth Coville, MA LLP
• Robert Paris Cowans Jr.

• Adult Care Home Facility in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.