Advisacare Healthcare Solutions, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ADVISACARE HEALTHCARE SOLUTIONS, INC.

Practice address

4280 Cascade Rd SE
Grand Rapids, MI 49546-8301

Phone

(616) 942-5570

Fax

(616) 942-5695

NPI assigned

Dec 6, 2011

Last updated

Mar 4, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kristian Skogen

Title

President

Phone

(616) 464-1117

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Mary Free Bed at Home, LLC

  • Home Health Agency
  • Grand Rapids, MI
  • NPI 1023477478

  Sold to, 2016-06-01

  CMS change of ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Mark Harrison, MS, OTR/L

  • Occupational Therapist
  • Grand Rapids, MI
  • NPI 1497162614
  NPD (past)

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1790053767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 CASCADE RD SE",
            "address_2": "SUITE 3",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468384",
            "telephone_number": "616-464-1117",
            "fax_number": "616-464-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 CASCADE RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468301",
            "telephone_number": "616-942-5570",
            "fax_number": "616-942-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVISACARE HEALTHCARE SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "SKOGEN",
        "authorized_official_first_name": "KRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-464-1117",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advantage Health Saint Mary's Medical Group (Trinity Health Medical Group)
• Advantage Health/Saint Mary's Medical Group (Trinity Health Medical Group)
• Advantage Health/Saint Mary's Medical Group
• Advent Rehabilitation, LLC (Advent Physical Therapy)
• Advent Rehabilitation, LLC (Advent Physical Therapy)
• Mary Beth Adyniec, NP
• Katherine Aeschlimann, OTR/L
• Bessie E Afendoulis, D.D.S.
• Roxanne Beatrice Affholter, LMSW
• Affinity Dental Care PLC

• 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 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.