David'S House Ministries

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

DAVID'S HOUSE MINISTRIES

Practice address

2390 Banner Dr SW
Wyoming, MI 49509-1930

Phone

(616) 247-7861

NPI assigned

Aug 12, 2013

Organization subpart

No

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

Authorized official

Name

Ann Braford

Title

Director

Phone

(616) 726-1702

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992138184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 BANNER DR SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495091930",
            "telephone_number": "616-247-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 BANNER DR SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495091930",
            "telephone_number": "616-247-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID'S HOUSE MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRAFORD",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "616-726-1702"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3783444",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Patrick Dalton, DO
• Samantha Darrow, MA
• Kristin Dart, MSPT
• Timothy Daum, MD
• Mallika Pearl David, CCC SLP
• Matthew Davidson
• Onyechi G Davies
• Alexis Camelia Davis
• David Davis Jr., MSW
• Shoshana Davis

• Child Intellectual and/or Developmental Disabilities Respite Care in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.