FAMILY OUTREACH CENTER


Address: 1939 S Division, Grand Rapids, MI 49507
Phone: 6162473815

FAMILY OUTREACH CENTER (NPI# 1619980927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619980927
Entity Type Organization
Organization Name FAMILY OUTREACH CENTER
Practice Address 1939 S Division
Grand Rapids
MI 49507
Practice Telephone 6162473815
Practice Fax Number 6162450450
Mailing Telephone 6162473815
Mailing Fax Number 6162450450
Enumeration Date 2006-08-15
Last Update Date 2018-03-08
Authorized Official Name VENEESE CHANDLER (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6162473815
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MI 4483587 05
MI MEDICARE ID 0D16322 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1548501349 Family Outreach Center Community/Behavioral Health 1920 Godfrey Ave Sw, Wyoming, MI 49509-1415 2013-03-05
1043652928 Family Outreach Center Social Worker 255 Colrain St Sw, Grand Rapids, MI 49548-1013 2013-07-22

Office Location

Street Address 1939 S DIVISION
City GRAND RAPIDS
State MI
Zip Code 49507

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891914743 Joanne Kathrine Vanderveen Social Worker 1939 S Division, Grand Rapids, MI 49507-2459 2007-04-25
1295854883 Julie Lynn Bey Social Worker 1939 S Division, Grand Rapids, MI 49507 2007-03-28
1417075078 Richard Gehl Social Worker 1939 S Division, Grand Rapids, MI 49507 2007-03-26
1609994250 Jon Dale Mckay Social Worker 1939 S Division, Grand Rapids, MI 49507 2007-03-26
1851419428 Deanna Lyn Thelen Social Worker 1939 S Division, Grand Rapids, MI 49507 2007-03-26
1659499218 Angela Jean Melville Social Worker 1939 S Division, Grand Rapids, MI 49507 2007-03-26
1154449726 Ryan Walter Veeneman Social Worker 1939 S Division, Grand Rapids, MI 49507 2007-03-26
1366579039 Andrew Douglas Rose Social Worker 1939 S Division, Grand Rapids, MI 49507 2007-02-28
1144356569 Michele Ann Seasly Social Worker 1939 S Division, Family Outreach Center, Grand Rapids, MI 49507 2007-02-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487156956 Kristen Zvirbulis Keeter Physical Therapist 625 Kenmoor Ave. Se Ste 306, Grand Rapids, MI 49507 2018-03-01
1508371758 Vanessa Woodard Case Manager/Care Coordinator 1939 S. Division Ave., Grand Rapids, MI 49507 2017-12-11
1306350624 Courtney Nicole Porter Social Worker 1979 S Division Ave., Grand Rapids, MI 49507 2017-11-22
1518496900 733 Prince LLC Custodial Care Facility 733 Prince St Se, Grand Rapids, MI 49507 2017-06-08
1720515406 Tiffanie Ryder Massage Therapist 1110 Merrified St, Grand Rapids, MI 49507 2017-05-12
1619404308 Shedrice's Afc Respite Care 246 Powell Se Ave, Grand Rapids, MI 49507 2017-05-12
1992171748 Richard Lavell Flowers Non-emergency Medical Transport (VAN) 1447 Elliott, Grand Rapids, MI 49507 2015-08-17
1982096087 Jordana Seebeck Social Worker 1939 S. Division Se, Grand Rapids, MI 49507 2015-02-26
1083973135 Carla May Waite Social Worker 1939 South Division, Grand Rapids, MI 49507 2012-05-10
1740550037 Jamie Lee Dalton Social Worker 2017 College Ave Se, Grand Rapids, MI 49507 2012-01-04
Find all providers in zip 49507

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1881154953 Speak Easy LLC Clinic/Center 10 Nw 5th St Ste 203, Grand Rapids, MN 55744-2660 2019-03-23
1912471863 Catherine A Vandewege LLC Clinic/Center 800 Monroe Ave Nw Ste 201, Grand Rapids, MI 49503-1448 2019-01-14
1477026847 Vetgr Clinic/Center 77 Monroe Center St Nw Ste 504, Grand Rapids, MI 49503-2903 2019-01-08
1508379397 Jolie J. Brown, Lmsw LLC Clinic/Center 4519 Cascade Rd Se Ste 4, Grand Rapids, MI 49546-8319 2017-11-15
1518973858 North Kent Guidance Services LLC Clinic/Center 5250 Northland Drive, Suite A North Kent Guidance Services LLC, Grand Rapids, MI 49525-1040 2006-07-31
1841803517 Dignity Counseling & Wellness, LLC Clinic/Center 3280 E Beltline Ct Ne, Grand Rapids, MI 49525-9494 2020-08-24
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Find all providers in GRAND RAPIDS

Competitor

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City GRAND RAPIDS
Zip Code 49507

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Dataset Information

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.

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