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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 4483587 | 05 | |
MI | MEDICARE ID | 0D16322 | 01 |
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 |
Street Address |
1939 S DIVISION |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49507 |
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 |
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 Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982219556 | Best Life Counseling Services, LLC | Clinic/Center | O-745 Lake Michigan Dr Nw, Grand Rapids, MI 49534-6795 | 2020-09-10 |
1992362347 | Kelly Ahti, Lmsw Pllc | Clinic/Center | 4519 Cascade Rd Se Ste 2, Grand Rapids, MI 49546-8319 | 2019-05-21 |
1902366974 | Caring Well Counseling | Clinic/Center | 2040 Raybrook St Se Ste 103, Grand Rapids, MI 49546-7718 | 2019-03-25 |
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 |
1912533605 | Ayew-ew Counseling LLC | Clinic/Center | 5005 Plainfield Ave Ne Ste 100, Grand Rapids, MI 49525-2087 | 2020-03-13 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49507 |
Please comment or provide details below to improve the information on FAMILY OUTREACH CENTER.
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.