Organization Active NPI

Spectrum Community Services

  • Case Management Agency
  • Wyoming, MI
National Provider Identifier
1730570797
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
6802088037 Issued in MI
Legal business name
SPECTRUM COMMUNITY SERVICES
Practice address
3353 Lousma Dr SE
Wyoming, MI 49548-2251
Phone
(616) 241-6258
Fax
(616) 241-6470
NPI assigned
Feb 12, 2015
Last updated
Feb 12, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
SPECTRUM HUMAN SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Mrs. Michelle Charlotte Voorheis, LLBSW
Title
Supports Coordinator
Phone
(616) 241-6258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 6802088037 MI Primary

Addresses

Primary practice location

3353 Lousma Dr SE
Wyoming, MI 49548-2251

Mailing address

3353 Lousma Dr SE
Wyoming, MI 49548-2251
Phone (616) 241-6258

National Provider Directory

National Provider Directory
Tax ID family
Marion Vamc35 organizations share this tax ID, including this one
Part of
Marion Vamc

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

3353 Lousma Dr SE
Wyoming, MI 49548
Phone (616) 454-7077

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1730570797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 LOUSMA DR SE",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495482251",
            "telephone_number": "616-241-6258",
            "fax_number": "616-241-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 LOUSMA DR SE",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495482251",
            "telephone_number": "616-241-6258",
            "fax_number": "616-241-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM COMMUNITY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECTRUM HUMAN SERVICES",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "VOORHEIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "CHARLOTTE",
        "authorized_official_title_or_position": "SUPPORTS COORDINATOR",
        "authorized_official_telephone_number": "616-241-6258",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LLBSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MI",
            "license": "6802088037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.