SPECTRUM HEALTH WORTH SERVICES (NPI# 1164734364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164734364 |
| Entity Type | Organization |
| Organization Name | SPECTRUM HEALTH WORTH SERVICES |
| Other Organization Name | SPECTRUM HEALTH NEURO REHAB SERVICES-RESIDENTIAL |
| Practice Address |
4130 Kalamazoo Ave Se Mail Code 017 Grand Rapids MI 49508-3605 |
| Mailing Address |
750 Fuller Ave Ne Mail Code 133 Grand Rapids MI 49503-1918 |
| Practice Telephone | 6164557300 |
| Mailing Telephone | 6164557300 |
| Enumeration Date | 2010-07-06 |
| Last Update Date | 2010-07-06 |
| Authorized Official Name | MR. LAWRENCE J OBERST (SHCC/DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 6164862405 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | Y |
| Parent Organization Name | SPECTRUM HEALHT CONTINUING CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320700000X | Residential Treatment Facility, Physical Disabilities | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Spectrum Health Neuro Rehab Services-Residential | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184608820 | Spectrum Health Worth Services | Custodial Care Facility | 4500 Breton Road Se, Grand Rapids, MI 49508 | 2005-12-06 |
| 1811209638 | Spectrum Health Worth Services | Physical Therapist | 4500 Breton Rd Se, Samil Code 159, Grand Rapids, MI 49508-5290 | 2010-07-09 |
| Street Address |
4130 KALAMAZOO AVE SE MAIL CODE 017 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49508-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| Taxonomy Code | 320700000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Physical Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194073908 | Hope Network Rehab Services | Residential Treatment Facility, Physical Disabilities | 1490 East Beltline, Grand Rapids, MI 49506 | 2012-08-28 |
| 1275980005 | Hope Network Corporate | Residential Treatment Facility, Physical Disabilities | 3075 Orchard Vista Dr Se, Grand Rapids, MI 49546-7069 | 2016-05-23 |
| 1912328618 | Hope Network Rehab Services | Residential Treatment Facility, Physical Disabilities | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2013-12-23 |
| 1659628444 | Hope Network Rehabilitation Services | Residential Treatment Facility, Physical Disabilities | 3492 Lake Dr Se, Grand Rapids, MI 49546-4338 | 2012-08-10 |
| 1740563469 | Hope Network | Residential Treatment Facility, Physical Disabilities | 1490 E Beltline Ave Se, Grand Rapids, MI 49506-4336 | 2011-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083173017 | Newport Care Center | Residential Treatment Facility, Physical Disabilities | 22977 Newport St, Southfield, MI 48075-5850 | 2019-03-19 |
| 1104352285 | Tukeisha Snedecar | Residential Treatment Facility, Physical Disabilities | 19210 Conley St, Detroit, MI 48234-2276 | 2017-05-10 |
| 1760925556 | Connect Care Network Inc. | Residential Treatment Facility, Physical Disabilities | 19761 Annott St, Detroit, MI 48205-1603 | 2016-11-28 |
| 1750832564 | First Door, LLC | Residential Treatment Facility, Physical Disabilities | 25584 W 10 Mile Rd, Southfield, MI 48033-4826 | 2016-10-17 |
| 1306390737 | Nikeyla Blakeney | Residential Treatment Facility, Physical Disabilities | 15384 Freeland St, Detroit, MI 48227-2911 | 2016-08-15 |
| 1558815068 | Charlie Hudson | Residential Treatment Facility, Physical Disabilities | 15831 Woodworth, Redford, MI 48239-3970 | 2016-08-12 |
| 1801249222 | Cm Org | Residential Treatment Facility, Physical Disabilities | 7621 Parkland, Detroit, MI 48239-1031 | 2016-07-20 |
| 1548635618 | Milad Jabow | Residential Treatment Facility, Physical Disabilities | 5126 Allison Dr, Troy, MI 48085-3468 | 2015-12-01 |
| 1831568500 | Expert Enterprises | Residential Treatment Facility, Physical Disabilities | 18453 Woodingham Dr Uppr, Detroit, MI 48221-2155 | 2015-09-23 |
| 1396113767 | Ltss Inc | Residential Treatment Facility, Physical Disabilities | 3801 S 39 Rd, Cadillac, MI 49601-9126 | 2015-09-02 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49508 |
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| 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.