Organization Active NPI

West Michigan Home Care LLC

  • Home Health Agency
  • Kentwood, MI
National Provider Identifier
1811672066
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WEST MICHIGAN HOME CARE LLC
Doing business as
West Michigan Home Care LLC
Practice address
3107 Blue Spruce CT SE
Kentwood, MI 49512-2872
Phone
(616) 219-5543
Fax
(616) 469-1246
NPI assigned
Jun 15, 2023
Last updated
Jan 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Krishna B BistaNPI 1275304099
Title
Manager
Phone
(616) 219-5543

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3107 Blue Spruce CT SE
Kentwood, MI 49512-2872

Mailing address

3167 Blairview Pkwy SE Apt 201
Grand Rapids, MI 49512-1798
Phone (616) 219-5543

Other names 2

  • West Michigan Home Care LLC Doing business as
  • Home Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Home Care2 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.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1811672066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3167 BLAIRVIEW PKWY SE APT 201",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495121798",
            "telephone_number": "616-219-5543",
            "fax_number": "616-469-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 BLUE SPRUCE CT SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495122872",
            "telephone_number": "616-219-5543",
            "fax_number": "616-469-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST MICHIGAN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "BISTA",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "616-219-5543"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Michigan Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.