Home Primary Care MHT LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HOME PRIMARY CARE MHT LLC

Practice address

2285 S Michigan Rd
Eaton Rapids, MI 48827-9206

Phone

(517) 386-1367

Fax

(877) 489-3949

NPI assigned

Sep 15, 2015

Last updated

Sep 15, 2015By 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

Alan Grillo, MD

Title

Owner / President

Phone

(231) 250-1905

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1932578465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 S MICHIGAN RD",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488279206",
            "telephone_number": "517-386-1367",
            "fax_number": "877-489-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 S MICHIGAN RD",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488279206",
            "telephone_number": "517-386-1367",
            "fax_number": "877-489-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME PRIMARY CARE MHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "GRILLO",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "231-250-1905",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul D Hankenson, D.O.
• Molly K Hemingway
• Grace Hensel, LMSW
• Andrew Hetchler
• Rachel Aledah Holmberg, D. C.
• Douglas Graham Hoppe, D.D.S.
• Londa Irvin, LMT
• Lisa Marie Jackinchuk, LMSW
• Jonathan P Wulff, D.O., PC
• Ryan A Jones, MD

• Family Medicine Physician in Eaton Rapids, MI
• Providers in Eaton Rapids, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.