Organization Active NPI

Visiting Nurse Services of Western Michigan

  • Developmentally Disabled Services Day Training Agency
  • Grand Rapids, MI
National Provider Identifier
1831762921
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
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

Updated by the provider on Oct 23, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
15517361MedicaidMI

Other names 2

  • Corewell Health Visiting Nurse Association Specialized Care Doing business as
  • Spectrum Health Visiting Nurse Association Specialized Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Corewell Health Visiting Nurse Association3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "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

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.

Verify at the official NPI Registry.