CLARK RETIREMENT COMMUNITY INC. (NPI# 1174771026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174771026 |
| Entity Type | Organization |
| Organization Name | CLARK RETIREMENT COMMUNITY INC. |
| Other Organization Name | CLARK AT HOME PERSONAL SERVICES |
| Practice Address |
1551 Franklin St Se Grand Rapids MI 49506-8203 |
| Practice Telephone | 6164521568 |
| Practice Fax Number | 6164520428 |
| Mailing Telephone | 6164521568 |
| Mailing Fax Number | 6164520428 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2009-05-14 |
| Authorized Official Name | MS. STEPHANIE LYNN HOTZ (ACCOUNTS RECEIVABLE COORDINATOR) |
| Authorized Official Telephone | 6164521568 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Clark at Home Personal Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871741249 | Clark Retirement Community Inc. | Home Health | 1551 Franklin St Se, Grand Rapids, MI 49506-8203 | 2008-08-28 |
| Street Address |
1551 FRANKLIN ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49506-8203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265421051 | Clark Retirement Community, Inc. | Skilled Nursing Facility | 1551 Franklin St Se, Grand Rapids, MI 49506 | 2005-10-14 |
| 1811510258 | Kimberly Hartger | Recreational Therapist Assistant | 1551 Franklin St Se, Grand Rapids, MI 49506-8203 | 2020-05-20 |
| 1871741249 | Clark Retirement Community Inc. | Home Health | 1551 Franklin St Se, Grand Rapids, MI 49506-8203 | 2008-08-28 |
| 1235331257 | Mary Claire Podein | Physical Therapist | 1551 Franklin St Se, Grand Rapids, MI 49506-8203 | 2007-06-01 |
| 1497956353 | Stephanie Adams | Occupational Therapy Assistant | 1551 Franklin St Se, Grand Rapids, MI 49506-8203 | 2007-05-29 |
| 1023170412 | Clark Retirement Pharmacy | Pharmacy | 1551 Franklin St Se, Grand Rapids, MI 49506-8203 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954705 | Mckenna Shank | Technician | 1409 E Beltline Ave Se, Grand Rapids, MI 49506 | 2020-08-26 |
| 1750917969 | Meghan Elizabeth Southwell | Social Worker | Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 | 2020-03-19 |
| 1356876536 | Lisa Finkbeiner | Chiropractor | 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 | 2017-04-26 |
| 1447622964 | Ashley Robinson | Rehabilitation Practitioner | 1490 East Beltline Ave, Grand Rapids, MI 49506 | 2015-10-23 |
| 1770951584 | Stuart Segal | Behavioral Analyst | 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 | 2015-09-10 |
| 1922476373 | Elizabeth Taylor | Nurse Practitioner | 2255 Wealthy Dr., Grand Rapids, MI 49506 | 2015-09-02 |
| 1780066092 | Carole Walters Counseling | Social Worker | 959 Wealthy St. Se, Grand Rapids, MI 49506 | 2015-06-23 |
| 1053792697 | Rosemary F. Trimpe | Social Worker | 4255 Kalamazoo Se, Grand Rapids, MI 49506 | 2015-06-09 |
| 1164809919 | Gary James | Rehabilitation Practitioner | 1490 E. Beltline Se, Grand Rapids, MI 49506 | 2015-04-30 |
| 1275925315 | Paul Cole | Counselor | 1101 Ball Ave. .se., Grand Rapids, MI 49506 | 2015-02-26 |
| Find all providers in zip 49506 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1912568239 | Devoted 2u Home Care LLC | Home Health | 1300 Underwood Ave Se, Grand Rapids, MI 49506-3268 | 2019-06-26 |
| 1205397890 | Kiss Ent LLC | Home Health | 2908 Giddings Ave Se, Grand Rapids, MI 49508-1430 | 2019-03-27 |
| 1497210017 | Bella Mente Inc. | Home Health | 114 Brock Ln, Grand Rapids, MN 55744-9211 | 2019-02-07 |
| 1134698848 | Passionate Caregivers LLC | Home Health | 508 Fontenelle St Se, Grand Rapids, MI 49548-7317 | 2018-11-26 |
| 1063920494 | Lmk Home Health Services-llc | Home Health | 3265 Dawes Ave Se, Grand Rapids, MI 49508-1538 | 2018-01-19 |
| 1225547920 | Praying Hands Home Care LLC Thanks | Home Health | 4922 Division Ave S Ste 4, Grand Rapids, MI 49548-4496 | 2017-09-25 |
| 1912421710 | Annie Bethel LLC | Home Health | 625 Kenmoor Ave Se Ste 350, Grand Rapids, MI 49546-2395 | 2017-08-02 |
| 1538612692 | Hands of Praise Home Care | Home Health | 1112 Benjamin Ave Se, Grand Rapids, MI 49506-3225 | 2016-07-25 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49506 |
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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.