CHRISTIAN REST HOME ASSOCIATION (NPI# 1720350341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720350341 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN REST HOME ASSOCIATION |
| Other Organization Name | EDISON ASSISTED LIVING CENTER |
| Practice Address |
1010 Edison Ave Nw Grand Rapids MI 49504-3918 |
| Practice Telephone | 6164530581 |
| Practice Fax Number | 6167910910 |
| Mailing Telephone | 6164530581 |
| Mailing Fax Number | 6167910910 |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |
| Authorized Official Name | JAMES HORJUS (ADMINISTRATOR) |
| Authorized Official Telephone | 6164530581 |
| Is Organization Subpart | Y |
| Parent Organization Name | CHRISTIAN REST HOME ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AH410236778 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MICHIGAN DEPARTMENT OF HUMAN SERVICES | AH410236778 | 01 |
| Other Name | Type Code |
|---|---|
| EDISON ASSISTED LIVING CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073506473 | Christian Rest Home Association | Skilled Nursing Facility | 1000 Edison Ave Nw, Grand Rapids, MI 49504-3918 | 2005-08-31 |
| Street Address |
1010 EDISON AVE NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49504-3918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049518 | Mark Contreras | Nurse Practitioner | 72 Sheldon Blvd Se # 130, Grand Rapids, MI 49504 | 2018-07-02 |
| 1205338753 | Kelli Marie Selby | Physical Therapist | 235 Wealthy, Grand Rapids, MI 49504 | 2018-03-01 |
| 1871094474 | Kymiri Lyn Coles | Physical Therapist | 1000 Edison Ave Ne, Grand Rapids, MI 49504 | 2018-02-28 |
| 1881132744 | Courtney Glinka | Behavior Technician | 1149 Butterworth St Sw, Grand Rapids, MI 49504 | 2017-02-10 |
| 1649650300 | Alyson Renee Vela | Social Worker | 1256 Walker Ave Ne, Grand Rapids, MI 49504 | 2015-06-08 |
| 1508258500 | Grand Rapids Natural Health | Nutritionist | 638 Fulton Street W., Grand Rapids, MI 49504 | 2015-02-27 |
| 1144622598 | Robert Mclaren | Physical Therapist | 2807 Lake Michigan Dr Nw Ste 1, Grand Rapids, MI 49504 | 2014-09-17 |
| 1972854339 | Beth Ellen Gregory | Registered Nurse | 1956 Walker Avenue Northwest, Grand Rapids, MI 49504 | 2012-09-26 |
| 1588914147 | Unlimited Alternatives | Community/Behavioral Health | 282 Leonard, Grand Rapids, MI 49504 | 2012-09-11 |
| 1386912178 | Michael Allen Crawford | Pharmacist | 800 West Leonard Nw, Grand Rapids, MI 49504 | 2011-12-07 |
| Find all providers in zip 49504 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1285290197 | The Emeralds At Grand Rapids Assisted Living LLC | Assisted Living Facility | 2815 S Highway 169, Grand Rapids, MN 55744-9532 | 2019-05-15 |
| 1023587227 | Northwoods Villa Inc. 2 | Assisted Living Facility | 1200 Gunn Rd, Grand Rapids, MN 55744-9212 | 2018-11-16 |
| 1588176432 | Brookstone Manor, Inc. | Assisted Living Facility | 722 N Pokegama Ave, Grand Rapids, MN 55744-2669 | 2017-11-01 |
| 1144769506 | Resolute Adult Living Facility | Assisted Living Facility | 1414 Eastern Ave Se, Grand Rapids, MI 49507-2024 | 2017-02-18 |
| 1548667694 | Fcsl Grand Rapids, LLC | Assisted Living Facility | 949 Sw 11th Ave, Grand Rapids, MN 55744-3562 | 2014-12-04 |
| 1780081877 | Fcsl Grand Rapids, LLC | Assisted Living Facility | 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 | 2014-12-04 |
| 1396016796 | Northview Care Corp. | Assisted Living Facility | 3740 Richton Ave Ne, Grand Rapids, MI 49525-2463 | 2012-01-18 |
| 1629238878 | Samaritas | Assisted Living Facility | 1900 32nd St Se, Grand Rapids, MI 49508-7908 | 2008-06-11 |
| 1356564389 | Five Star Living of Grand Rapids, LLC | Assisted Living Facility | 949 Sw 11th Avenue, Grand Rapids, MN 55744 | 2007-04-10 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49504 |
Please comment or provide details below to improve the information on CHRISTIAN REST HOME ASSOCIATION.
| 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.