Active NPI
A North Side Home Care Experience
- Home Health Registered Nurse
- Grand Rapids, MI
National Provider Identifier
1790608057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- Legal business name
- A NORTH SIDE HOME CARE EXPERIENCE
- Practice address
- 831 Dorchester Ave SW
Grand Rapids, MI 49503-4803 - Phone
- (616) 334-1148
- NPI assigned
- Aug 3, 2026
- Last updated
- Aug 3, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle Taylor, TAYLOR
- Title
- Owner
- Phone
- (616) 334-1148
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | NU | Primary |
Addresses
Primary practice location
831 Dorchester Ave SW
Grand Rapids, MI 49503-4803
Mailing address
PO Box
33
Comstock Park, MI 49321
Phone (616) 334-1148
National Provider Directory
National Provider Directory- Tax ID family
- A North Side Home Care Experience
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Grand Rapids, MI
- NPI 1316756448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785715200000",
"number": "1790608057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX",
"address_2": "33",
"city": "COMSTOCK PARK",
"state": "MI",
"postal_code": "49321",
"telephone_number": "616-334-1148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 DORCHESTER AVE SW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034803",
"telephone_number": "616-334-1148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A NORTH SIDE HOME CARE EXPERIENCE",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-03",
"last_updated": "2026-08-03",
"certification_date": "2026-07-22",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "MICHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-334-1148",
"authorized_official_credential": "TAYLOR"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.