Mike's Way Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AS410392756 Issued in MI

Legal business name

MIKE'S WAY INC

Practice address

1552 Robinson Rd SE
Grand Rapids, MI 49506-1748

Phone

(616) 608-4078

Fax

(616) 608-6832

NPI assigned

Mar 2, 2018

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Randal L Bennett

Title

Cfo

Phone

(616) 929-3677

Specialties & licenses 4

Addresses

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.

• Valkyrie F Sakshaug

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Byron Center, MI
  • NPI 1417668542
  NPD (past)

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1851893176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9371 WESTVIEW DR SE",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159324",
            "telephone_number": "616-877-4131",
            "fax_number": "616-877-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 ROBINSON RD SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495061748",
            "telephone_number": "616-608-4078",
            "fax_number": "616-608-6832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1259 Rathbone St SW",
            "address_purpose": "LOCATION",
            "city": "Wyoming",
            "state": "MI",
            "postal_code": "495091075",
            "country_code": "US",
            "telephone_number": "616-432-3005",
            "fax_number": "616-805-4003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 Pannell Ave NW",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495042806",
            "country_code": "US",
            "telephone_number": "616-551-1639",
            "fax_number": "616-551-1672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 Texas St NW",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495441746",
            "country_code": "US",
            "telephone_number": "616-805-5771",
            "fax_number": "616-419-3639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIKE'S WAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-02",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "616-929-3677",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS410392760",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS410392759",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS410392757",
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS410392756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Mihlethaler
• Jason Joseph Miiller, MD
• Sarah Lynne Mika, PA-C
• Kelly Rose Mikail, PA-C
• Mriam Grace Mikaya
• Kathryn Marie Mikel, LPC
• Sarah Alean Mikel
• Jonathan Juris Mikelsons, LPC, SCL
• Randi Mikesell
• Laura Rose Mikrut, MA

• Adult Care Home Facility in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.