AT HOME REHAB, LLC (NPI# 1912139288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912139288 |
| Entity Type | Organization |
| Organization Name | AT HOME REHAB, LLC |
| Practice Address |
5088 Corporate Exchange Blvd Se Ste. 350 Grand Rapids MI 49512-5517 |
| Practice Telephone | 8008809715 |
| Practice Fax Number | 8008809715 |
| Mailing Telephone | 8008809715 |
| Mailing Fax Number | 8008809715 |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2012-03-05 |
| Authorized Official Name | TARA L ANDERSON (CEO) |
| Authorized Official Telephone | 8008809715 |
| Authorized Official Credential | MPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
5088 CORPORATE EXCHANGE BLVD SE STE. 350 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49512-5517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| 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 |
|---|---|---|---|---|
| 1992332621 | Nrmi, LLC | Home Health | 769 Seward Ave Nw Ste 101, Grand Rapids, MI 49504-5191 | 2020-03-24 |
| 1972140333 | Northwoods Villa Inc. | Home Health | 1905 W Us Highway 2, Grand Rapids, MN 55744-4738 | 2019-12-04 |
| 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 | 49512 |
Please comment or provide details below to improve the information on AT HOME REHAB, LLC.
| 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.