NPIMap

Organization Active NPI

Disability Advocates of Kent County

  • In Home Supportive Care Agency
  • Grand Rapids, MI
National Provider Identifier
1740433846
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
DISABILITY ADVOCATES OF KENT COUNTY
Practice address
3600 Camelot Dr SE
Grand Rapids, MI 49546-8103
Phone
(616) 949-1100
Fax
(616) 949-7865
NPI assigned
Nov 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
David Bulkowski, J.D.
Title
Executive Director
Phone
(616) 949-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3600 Camelot Dr SE
Grand Rapids, MI 49546-8103

Mailing address

3600 Camelot Dr SE
Grand Rapids, MI 49546-8103
Phone (616) 949-1100

Other names 1

  • Grand Rapids Center for Independent Living Former legal business name

National Provider Directory

National Provider Directory

Locations

3600 Camelot Dr SE
Grand Rapids, MI 49546
Phone (616) 949-1100

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1740433846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CAMELOT DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468103",
            "telephone_number": "616-949-1100",
            "fax_number": "616-949-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CAMELOT DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468103",
            "telephone_number": "616-949-1100",
            "fax_number": "616-949-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISABILITY ADVOCATES OF KENT COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "BULKOWSKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-949-1100",
        "authorized_official_credential": "J.D."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Rapids Center for Independent Living",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 3, 2008; 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.