Individual provider Active NPI

Vernard Humber

  • Personal Care Attendant
  • Grand Rapids, MI
National Provider Identifier
1902457542
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
M1000031473 Issued in MI
Practice address
891 Maryland Ave NE
Grand Rapids, MI 49505-6005
Phone
(616) 301-0800
NPI assigned
Sep 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X M1000031473 MI Primary

Addresses

Primary practice location

891 Maryland Ave NE
Grand Rapids, MI 49505-6005

Mailing address

1123 Noble St SE
Grand Rapids, MI 49507-1929
Phone (616) 881-5427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
M1000031473MIMDPersonal Care Attendant

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1902457542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 NOBLE ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495071929",
            "telephone_number": "616-881-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 MARYLAND AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495056005",
            "telephone_number": "616-301-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMBER",
        "first_name": "VERNARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "MI",
            "license": "M1000031473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 25, 2019; 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.