Kingsbury Place

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

KINGSBURY PLACE

Practice address

730 N Center CT NW
Walker, MI 49544-8247

Phone

(616) 988-4737

NPI assigned

Nov 29, 2007

Organization subpart

Yes

Parent organization

GENESIS NON-PROFIT HOUSING CORP.As reported in NPPES

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

Authorized official

Name

Ms. Sharon Vanderkodde

Title

Adm Asst

Phone

(616) 988-2897

Specialties & licenses 1

Addresses

Other names 1

• Genesis Non-Profit Housing Corp. Doing business as

Part of

Genesis Non-Profit Housing Corporation

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Genesis Non-Profit Housing Corporation

  • In Home Supportive Care Agency
  • Grand Rapids, MI
  • NPI 1366878340
  NPPES parent name

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1992987176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 N CENTER CT NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495448247",
            "telephone_number": "616-988-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 N CENTER CT NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495448247",
            "telephone_number": "616-988-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSBURY PLACE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GENESIS NON-PROFIT HOUSING CORP.",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "VANDERKODDE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "ADM ASST",
        "authorized_official_telephone_number": "616-988-2897",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Non-Profit Housing Corp.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Icare Home Care Services LLC
• Eric James, OD
• Diane Marie Johnston, RN
• Laura Jones
• Aimee Rae Kalczuk, MS, RD
• Jillian L Klatt
• Sally Kliphuis, MD
• Faith Lynne Kohley
• Erika Kryger
• Laura E Kuipers, PA

• All providers in Walker, MI
• Case Management Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.