Organization Active NPI

Eventually LLC

  • Community/Behavioral Health Agency
  • Ann Arbor, MI
National Provider Identifier
1982169538
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EVENTUALLY LLC
Practice address
455 E Eisenhower Pkwy Ste 300
Ann Arbor, MI 48108-3324
Phone
(734) 707-6209
NPI assigned
Feb 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Authorized official

Name
Frederik Siewertsz Van Reesema, LLMSWNPI 1871063636
Title
Founder
Phone
(734) 707-6209

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

455 E Eisenhower Pkwy Ste 300
Ann Arbor, MI 48108-3324

Mailing address

PO Box 602
Chelsea, MI 48118-0602
Phone (734) 707-6209

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549497600000",
    "number": "1982169538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481180602",
            "telephone_number": "734-707-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E EISENHOWER PKWY STE 300",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083324",
            "telephone_number": "734-707-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVENTUALLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2019-02-07",
        "status": "A",
        "authorized_official_last_name": "SIEWERTSZ VAN REESEMA",
        "authorized_official_first_name": "FREDERIK",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "734-707-6209",
        "authorized_official_credential": "LLMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.