Organization Active NPI

A North Side Home Care Experience

  • Home Health Registered Nurse
  • Grand Rapids, MI
National Provider Identifier
1790608057
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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)CodeLicenseStatePrimary
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 Experience2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.