Organization Active NPI

At Home Rehab, LLC

  • Home Health Agency
  • Grand Rapids, MI
National Provider Identifier
1912139288
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AT HOME REHAB, LLC
Practice address
5088 Corporate Exchange Blvd SE
Ste. 350
Grand Rapids, MI 49512-5517
Phone
(800) 880-9715
Fax
(800) 880-9715
NPI assigned
Aug 19, 2009
Last updated
Mar 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Tara L Anderson, MPTNPI 1811165780
Title
Ceo
Phone
(800) 880-9715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

5088 Corporate Exchange Blvd SE
Ste. 350
Grand Rapids, MI 49512-5517

Mailing address

5088 Corporate Exchange Blvd SE
Ste. 350
Grand Rapids, MI 49512-5517
Phone (800) 880-9715

National Provider Directory

National Provider Directory

Locations

5088 Corporate Exchange Blvd SE
Ste 350
Grand Rapids, MI 49512
Phone (800) 880-9715

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1250640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1912139288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5088 CORPORATE EXCHANGE BLVD SE",
            "address_2": "STE. 350",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495125517",
            "telephone_number": "800-880-9715",
            "fax_number": "800-880-9715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5088 CORPORATE EXCHANGE BLVD SE",
            "address_2": "STE. 350",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495125517",
            "telephone_number": "800-880-9715",
            "fax_number": "800-880-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT HOME REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-19",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-880-9715",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "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 Mar 5, 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.