HEARTY HOMES (NPI# 1780124669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780124669 |
| Entity Type | Organization |
| Organization Name | HEARTY HOMES |
| Practice Address |
330 Diamond Ave Ne Grand Rapids MI 49503-3625 |
| Practice Telephone | 6162598855 |
| Practice Fax Number | 6162598855 |
| Mailing Telephone | 6162598855 |
| Mailing Fax Number | 6162598855 |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |
| Authorized Official Name | YOUNG EDEM EYAMBA (ADMINISTRATOR) |
| Authorized Official Telephone | 6167106389 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AS410360436 | MI | Nursing & Custodial Care Facilities |
| Street Address |
330 DIAMOND AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49503-3625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801496195 | Airway Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | Lemmen Holton Cancer Pavilion, 145 Michigan St Ne Ste 3400, Grand Rapids, MI 49503 | 2020-10-27 |
| 1730707282 | Adriana Molina-schmuker | Counselor | 901 Eastern Avenue Ne, Grand Rapids, MI 49503 | 2020-07-10 |
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1124647805 | Jared Host | Speech-Language Pathologist | Mercy Health Hauenstein Neuroscience Center 220 Cherry, Grand Rapids, MI 49503 | 2020-04-13 |
| 1265061378 | Heather Gladfelter | Student in an Organized Health Care Education/Training Program | 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 | 2020-04-02 |
| 1194368647 | Amy Jo Arends | Nurse Practitioner | 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 | 2019-10-28 |
| 1376185199 | Beth Arce | Occupational Therapist | 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 | 2019-10-14 |
| 1295387256 | Althea Ziolkowski | Licensed Practical Nurse | Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 | 2019-07-10 |
| 1790340719 | Heather Anne Fox | Occupational Therapist | Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 | 2019-05-06 |
| 1184182883 | April L Kaiserlian | Social Worker | 983 Spaulding Ave Ne, Ada, MI 49503 | 2019-03-12 |
| Find all providers in zip 49503 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851893176 | Mike's Way Inc | Custodial Care Facility | 1552 Robinson Rd Se, Grand Rapids, MI 49506-1748 | 2018-03-02 |
| 1336655034 | Michael D Wagner | Custodial Care Facility | 807 Pine Ave Nw, Grand Rapids, MI 49504-4340 | 2017-12-18 |
| 1518496900 | 733 Prince LLC | Custodial Care Facility | 733 Prince St Se, Grand Rapids, MI 49507 | 2017-06-08 |
| 1689102931 | Jerry's Dream Adult Homes | Custodial Care Facility | 1124 W Leonard Ct Nw, Grand Rapids, MI 49534-6835 | 2017-05-31 |
| 1801324538 | Tenagne Mengistu | Custodial Care Facility | 604 Jefferson Ave Se, Grand Rapids, MI 49503-5218 | 2017-05-25 |
| 1649708488 | Extended Care At Ramsdell | Custodial Care Facility | 3109 Lawton Dr Ne, Grand Rapids, MI 49525-2916 | 2017-05-24 |
| 1700314564 | Covenant Enabling Residences of Michigan | Custodial Care Facility | 340 Thornridge Ct Nw, Grand Rapids, MI 49504-5887 | 2017-05-24 |
| 1285161257 | Caring Meadows Living Center Inc | Custodial Care Facility | 1171 Lafayette Ave Se, Grand Rapids, MI 49507-1108 | 2017-05-22 |
| 1548796576 | Nathan Bieszka | Custodial Care Facility | 3671 Senora Ave Se, Grand Rapids, MI 49508-5501 | 2017-05-11 |
| 1306372396 | Holton Management, LLC | Custodial Care Facility | 2101 Francis Ave Se, Grand Rapids, MI 49507-3016 | 2017-05-11 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
Please comment or provide details below to improve the information on HEARTY HOMES.
| 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.