Sacred Beginnings Transitional Homes

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

SACRED BEGINNINGS TRANSITIONAL HOMES

Practice address

1165 Hermitage St SE
Grand Rapids, MI 49506-1420

Phone

(616) 272-4312

NPI assigned

Oct 29, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Leslie F King

Title

Chairman-Ceo

Phone

(616) 819-9840

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1821342866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9472",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495090472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 HERMITAGE ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061420",
            "telephone_number": "616-272-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED BEGINNINGS TRANSITIONAL HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHAIRMAN-CEO",
        "authorized_official_telephone_number": "616-819-9840",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyad Elie Jalil Saca, MD
• Sara Sackett, BS
• Robyn Sackeyfio, MD
• Mackenzie Sacks, DO
• Sacred Beginnings Doula Services by Keyia LLC
• Sacred Ground Counseling LLC
• Audrey Sadowski
• Richard Emil Sadowski, M.D.
• Payam Sadro, M.D.
• Anas Ahmed Mohammed Saeed Bamashmos, M.D

• Mental Illness Community Based Residential Treatment Facility in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Mental Illness Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.