Hearty Homes

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AS410360436 Issued in MI

Legal business name

HEARTY HOMES

Practice address

330 Diamond Ave NE
Grand Rapids, MI 49503-3625

Phone

(616) 259-8855

Fax

(616) 259-8855

NPI assigned

Feb 27, 2017

Organization subpart

No

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

Authorized official

Name

Young Edem Eyamba

Title

Administrator

Phone

(616) 710-6389

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1780124669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 DIAMOND AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033625",
            "telephone_number": "616-259-8855",
            "fax_number": "616-259-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 DIAMOND AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495033625",
            "telephone_number": "616-259-8855",
            "fax_number": "616-259-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTY HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "EYAMBA",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "EDEM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "616-710-6389"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS410360436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heartland-Greenview Mi LLC
• Heartstone Guidance Center LLC
• Dawn Heartwell, LMSW
• Heartwood Counseling LLC
• Heartwork Counseling & Wellness LLC
• Heathcliffe Haven Assisted Living, LLC
• Gail L Heathcote, CNM
• Heather Dermyer, LLC
• Heather Duthler
• Heather Hills Limited Partnership

• 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 Feb 27, 2017; 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.