CAROL RICHARDS (NPI# 1093189219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093189219 |
| Entity Type | Individual |
| Full Name | CAROL RICHARDS |
| Credential | LPN |
| Practice Address |
1450 Leonard St Ne Grand Rapids MI 49505-5515 |
| Practice Telephone | 6167748789 |
| Practice Fax Number | 6167761305 |
| Enumeration Date | 2015-11-26 |
| Last Update Date | 2015-11-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
4703109087 | MI | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760810204 | Carol Richards | Counselor | 1152 S Main St, Lakeport, CA 95453-5517 | 2013-10-18 |
| 1558398289 | Carol Richards | Specialist | 12276 San Jose Blvd, Suite 717, Jacksonville, FL 32223-8628 | 2006-06-27 |
| Street Address |
1450 LEONARD ST NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505-5515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184789737 | Joseph L Gage | Psychologist | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2006-12-26 |
| 1487254223 | Tara Lynn Rockey | Licensed Practical Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2020-10-30 |
| 1821639568 | Jessica Bryan Vargas | Licensed Practical Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2019-10-03 |
| 1720571045 | Lauren Janness | Occupational Therapist | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2018-06-12 |
| 1497261291 | Jacquelyn Suzann Davis-dudka | Registered Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2017-12-17 |
| 1235651613 | Minnie Shinal | Licensed Practical Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505 | 2017-07-07 |
| 1972960060 | William G Martin | Registered Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2016-01-21 |
| 1598168262 | Danielle Gregory | Case Manager/Care Coordinator | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2014-10-08 |
| 1073930848 | Tiocka Bentley | Licensed Practical Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2014-03-18 |
| 1962828087 | Chad Underly | Licensed Practical Nurse | 1450 Leonard St Ne, Grand Rapids, MI 49505-5515 | 2014-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851893176 | Mike's Way Inc | Custodial Care Facility | 1552 Robinson Rd Se, Grand Rapids, MI 49506-1748 | 2018-03-02 |
| 1336655034 | Michael D Wagner | Custodial Care Facility | 807 Pine Ave Nw, Grand Rapids, MI 49504-4340 | 2017-12-18 |
| 1518496900 | 733 Prince LLC | Custodial Care Facility | 733 Prince St Se, Grand Rapids, MI 49507 | 2017-06-08 |
| 1689102931 | Jerry's Dream Adult Homes | Custodial Care Facility | 1124 W Leonard Ct Nw, Grand Rapids, MI 49534-6835 | 2017-05-31 |
| 1801324538 | Tenagne Mengistu | Custodial Care Facility | 604 Jefferson Ave Se, Grand Rapids, MI 49503-5218 | 2017-05-25 |
| 1649708488 | Extended Care At Ramsdell | Custodial Care Facility | 3109 Lawton Dr Ne, Grand Rapids, MI 49525-2916 | 2017-05-24 |
| 1700314564 | Covenant Enabling Residences of Michigan | Custodial Care Facility | 340 Thornridge Ct Nw, Grand Rapids, MI 49504-5887 | 2017-05-24 |
| 1285161257 | Caring Meadows Living Center Inc | Custodial Care Facility | 1171 Lafayette Ave Se, Grand Rapids, MI 49507-1108 | 2017-05-22 |
| 1548796576 | Nathan Bieszka | Custodial Care Facility | 3671 Senora Ave Se, Grand Rapids, MI 49508-5501 | 2017-05-11 |
| 1306372396 | Holton Management, LLC | Custodial Care Facility | 2101 Francis Ave Se, Grand Rapids, MI 49507-3016 | 2017-05-11 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
Please comment or provide details below to improve the information on CAROL RICHARDS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.