Active NPI
Visiting Nurse Services of Western Michigan
- Developmentally Disabled Services Day Training Agency
- Grand Rapids, MI
National Provider Identifier
1831762921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- VISITING NURSE SERVICES OF WESTERN MICHIGAN
- Doing business as
- Corewell Health Visiting Nurse Association Specialized Care
Spectrum Health Visiting Nurse Association Specialized Care - Practice address
- 1401 Cedar St NE
Grand Rapids, MI 49503-1375 - Phone
- (616) 486-3900
- NPI assigned
- Jul 19, 2021
- 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
- Mr. Matthew E Cox
- Title
- Cfo
- Phone
- (616) 391-1663
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
1401 Cedar St NE
Grand Rapids, MI 49503-1375
Mailing address
1401 Cedar St NE
Grand Rapids, MI 49503-1375
Phone (616) 486-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15517361 | Medicaid | MI |
Other names 2
- Corewell Health Visiting Nurse Association Specialized Care
- Spectrum Health Visiting Nurse Association Specialized Care
National Provider Directory
National Provider Directory- Tax ID family
- Corewell Health Visiting Nurse Association
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Grand Rapids, MI
- NPI 1134567662
-
- Home Health Agency
- Grand Rapids, MI
- NPI 1659356061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698019200000",
"number": "1831762921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 CEDAR ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495031375",
"telephone_number": "616-486-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 CEDAR ST NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495031375",
"telephone_number": "616-486-3900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISITING NURSE SERVICES OF WESTERN MICHIGAN",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-19",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "616-391-1663",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15517361",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Corewell Health Visiting Nurse Association Specialized Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Spectrum Health Visiting Nurse Association Specialized Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Grand Rapids, MI
- William Dale Vis, LMSW
- Elisa Visciglio
- Visionary Medical Services PC
- Visiting Nurse Services of Western Michigan
- Visiting Nurse Services of Western Michigan
- Visiting Therapists Association of Kent, Inc.
- Kurtis Steven Visker, LMSW
- Chelsey Marie Visser, PAC
- Christopher Visser, DO
- Hannah Elizabeth Visser, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.