HOMEWARD BOUND THERAPEUTIC SERVICES (NPI# 1104202209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104202209 |
| Entity Type | Organization |
| Organization Name | HOMEWARD BOUND THERAPEUTIC SERVICES |
| Practice Address |
436 44th St Se Suite C Grand Rapids MI 49548-4371 |
| Mailing Address |
1521 Providence Cove Ct Byron Center MI 49315-9149 |
| Practice Telephone | 6165600019 |
| Practice Fax Number | 6162330630 |
| Mailing Telephone | 6165600019 |
| Mailing Fax Number | 6162330630 |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |
| Authorized Official Name | MR. RONALD L GROOTERS (CEO/PRESIDENT) |
| Authorized Official Telephone | 6165600019 |
| Authorized Official Credential | LMSW, ACSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 6801061511 | MI | Agencies |
| Street Address |
436 44TH ST SE SUITE C |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49548-4371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821083239 | Maureen Ryan | Nurse Practitioner | 436 44th St Se, Grand Rapids, MI 49548-4371 | 2005-09-13 |
| 1295147825 | Rachel Brown | Physical Therapy Assistant | 436 44th St Se, Ste A, Grand Rapids, MI 49548-4371 | 2014-06-02 |
| 1154621175 | Lori Lynn Koorndyk | Physician Assistant | 436 44th St Se, Suite A, Grand Rapids, MI 49548-4371 | 2010-10-25 |
| 1174857718 | American Current Care of Michigan, PC | Clinic/Center | 436 44th St Se, Suite A, Grand Rapids, MI 49548-4371 | 2009-09-30 |
| 1659562262 | American Current Care of Michigan PC | Clinic/Center | 436 44th St Se, Suite A, Grand Rapids, MI 49548-4371 | 2007-08-08 |
| 1801920970 | Occupational Health Centers of Michigan, P.C. | Clinic/Center | 436 44th St Se, Suite A, Grand Rapids, MI 49548-4371 | 2007-03-14 |
| 1326186735 | Heather Medema | Physician Assistant | 436 44th St Se, Ste A, Grand Rapids, MI 49548-4371 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205319811 | Pooja Patel | Social Worker | Spectrum Community Services, 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2018-09-10 |
| 1063906865 | Kimberly Eccher | Physician Assistant | 300 68th St. Se, Grand Rapids, MI 49548 | 2018-06-15 |
| 1871099481 | Baymark of Michigan, Inc. | Clinic/Center | 5500 Division Avenue Se, Kentwood, MI 49548 | 2018-04-03 |
| 1629507801 | Laura Marie Quennoz | Psychiatry & Neurology | Pine Rest Christian Mental Health Services, 300 68th Street Se, Grand Rapids, MI 49548 | 2017-06-09 |
| 1821548504 | Alison Anderson | Technician, Other | 103 Roth St Se, Grand Rapids, MI 49548 | 2016-10-06 |
| 1831540152 | Jesse Aubil | Counselor | 264 Montebello St. Se 49548, Grand Rapids, MI 49548 | 2016-06-28 |
| 1306237920 | Sarah Benton | Social Worker | 225 Colrain St Sw, 2, Grand Rapids, MI 49548 | 2015-02-18 |
| 1578996856 | Karen Marie Irving | Social Worker | 3353 Lousma Dr. Se, Wyoming, MI 49548 | 2013-08-09 |
| 1740348044 | Robert Kenneth Richmond | Preventive Medicine | 551 36th Street. Se, Wyoming, MI 49548 | 2006-12-05 |
| 1386738953 | Sharita Montiez Hall | Social Worker | 300 68th Street Se, Grand Rapids, MI 49548 | 2006-10-03 |
| Find all providers in zip 49548 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1013487990 | Compass Behavioral Health LLC | Community/Behavioral Health | 2214 Norway St, Grand Rapids, MN 55744-9654 | 2018-12-04 |
| 1972041721 | Community Recovery Counseling Center, Pllc | Community/Behavioral Health | 1975 Jefferson Ave Se, Grand Rapids, MI 49507-2511 | 2017-02-01 |
| 1275079923 | Kool Counseling, LLC | Community/Behavioral Health | 2335 Burton St Se, Suite 130, Grand Rapids, MI 49506-4669 | 2017-01-18 |
| 1700253895 | Living Well Recreation Therapy | Community/Behavioral Health | 1351 Sherman St Se, Grand Rapids, MI 49506-2613 | 2015-08-25 |
| 1699157677 | First Call for Help of Itasca County | Community/Behavioral Health | 1007 Nw 4th St, Grand Rapids, MN 55744-2203 | 2015-06-25 |
| 1417355322 | Melita Travis Johnson, Lmsw, Ccdp | Community/Behavioral Health | 770 Kenmoor Ave Se Ste 103, Grand Rapids, MI 49546-8602 | 2014-12-09 |
| 1093134926 | J Hill Psychological Services L.l.c | Community/Behavioral Health | 201 Nw 4th St Ste 7, Grand Rapids, MN 55744-2753 | 2014-04-08 |
| 1457774242 | The Asian Center | Community/Behavioral Health | 4040 Fulton St E, Grand Rapids, MI 49546-1352 | 2014-01-29 |
| 1083059141 | Joyce Lenise Williams | Community/Behavioral Health | 1440 Fuller Ave Se, Grand Rapids, MI 49507-2191 | 2013-05-02 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49548 |
Please comment or provide details below to improve the information on HOMEWARD BOUND THERAPEUTIC SERVICES.
| 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.