Organization Active NPI

Safehome

  • Home Health Agency
  • Holland, MI
National Provider Identifier
1811375777
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SAFEHOME
Practice address
729 Lincoln Ave
Holland, MI 49423-5428
Phone
(616) 777-0306
Fax
(616) 259-5004
NPI assigned
May 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Mr. San Juan Rios
Title
President
Phone
(616) 777-0306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

729 Lincoln Ave
Holland, MI 49423-5428

Mailing address

729 Lincoln Ave
Holland, MI 49423-5428
Phone (616) 777-0306

Other identifiers 1

IdentifierTypeStateIssuer
120545MedicaidMI

National Provider Directory

National Provider Directory

Locations

729 Lincoln Ave
Holland, MI 49423
Phone (616) 777-0306

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1811375777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 LINCOLN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494235428",
            "telephone_number": "616-777-0306",
            "fax_number": "616-259-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 LINCOLN AVE",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494235428",
            "telephone_number": "616-777-0306",
            "fax_number": "616-259-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEHOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "SAN JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-777-0306",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120545",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; 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.