PINE REST CHRISTIAN MENTAL HEALTH SERVICES (NPI# 1952818551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952818551 |
| Entity Type | Organization |
| Organization Name | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| Practice Address |
450 Meadow Run Dr Hastings MI 49058-9053 |
| Mailing Address |
300 68th St Se Grand Rapids MI 49548-6927 |
| Practice Telephone | 6168918770 |
| Practice Fax Number | 6168913504 |
| Mailing Telephone | 6162816372 |
| Mailing Fax Number | 6162816459 |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | DIANE FENNEMA (MANAGED CARE ADMINISTRATOR) |
| Authorized Official Telephone | 6162816372 |
| Is Organization Subpart | Y |
| Parent Organization Name | PINE REST CHRISTIAN MENTAL HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 283Q00000X | Psychiatric Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1982672762 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154339521 | Pine Rest Christian Mental Health Services | Psychologist | 550 - 3 Mile Rd Nw, Grand Rapids, MI 49544-1673 | 2006-08-03 |
| 1841791357 | Pine Rest Christian Mental Health Services | Substance Abuse Rehabilitation Facility | 300 68th Street Se, Grand Rapids, MI 49548 | 2018-02-21 |
| 1619341310 | Pine Rest Christian Mental Health Services | Counselor | 9090 S Rodgers Ct Se, Caledonia, MI 49316-8052 | 2015-11-18 |
| 1598138810 | Pine Rest Christian Mental Health Services | Counselor | 1870 Leonard St Ne, Grand Rapids, MI 49505-5650 | 2015-11-09 |
| 1386015683 | Pine Rest Christian Mental Health Services | Counselor | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2015-10-13 |
| 1467840553 | Pine Rest Christian Mental Health Services | Nurse Practitioner | 17325 Van Wagoner Rd, Spring Lake, MI 49456-9702 | 2014-12-26 |
| 1821414566 | Pine Rest Christian Mental Health Services | Counselor | 1350 W Centre Ave, Portage, MI 49024-5361 | 2014-03-05 |
| 1467873414 | Pine Rest Christian Mental Health Services | Speech-Language Pathologist | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2013-12-18 |
| 1427216241 | Pine Rest Christian Mental Health Services | Counselor | 4294 Laurel Dr, Lake Odessa, MI 48849-9423 | 2008-05-29 |
| 1487837506 | Pine Rest Christian Mental Health Services | Psychiatry & Neurology | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2007-12-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PINE REST CHRISTIAN MENTAL HEALTH SERVICES | 300 68th St Se, Grand Rapids, MI 49548-6927 |
| Iowa Business Entities | PINE REST CHRISTIAN MENTAL HEALTH SERVICES | 300 68th St Se, Grand Rapids, MI 49548 |
| Street Address |
450 MEADOW RUN DR |
| City | HASTINGS |
| State | MI |
| Zip Code | 49058-9053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659338531 | Brenda A. Shinabarger-howe | Counselor | 450 Meadow Run Dr, Hastings, MI 49058-9053 | 2006-04-26 |
| 1255852091 | Colette Purucker | Social Worker | 450 Meadow Run Dr, Hastings, MI 49058-9053 | 2017-07-01 |
| 1639566359 | Heather Kiel | Social Worker | 450 Meadow Run Dr, Suite 300, Hastings, MI 49058-9053 | 2015-04-21 |
| 1215229588 | Vicki L Shumaker Plc | Social Worker | 450 Meadow Run Dr, Suite 400, Hastings, MI 49058-9053 | 2011-05-05 |
| 1124202965 | Dale R. Anderson | Counselor | 450 Meadow Run Dr, Hastings, MI 49058-9053 | 2007-12-27 |
| 1881801462 | Family & Children Services | Clinic/Center | 450 Meadow Run Dr, Hastings, MI 49058-9053 | 2007-05-16 |
| 1801900543 | Faye J. Shannon | Social Worker | 450 Meadow Run Dr, Hastings, MI 49058-9053 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760941942 | Valerie Joy Gardiner | Licensed Practical Nurse | 1359 Avon St, Hastings, MI 49058 | 2019-03-18 |
| 1538528633 | Forefront Dermatology, S.c. | Dermatology | 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 | 2016-02-17 |
| 1376936807 | Angels On The Go | Home Health | 959 1/2 Williams Dr., Hastings, MI 49058 | 2015-03-09 |
| 1134524226 | Forefront Dermatology, S.c. | Dermatology | 1005 W. Green Street, Suite 200, Hastings, MI 49058 | 2014-10-31 |
| 1417385493 | James Edgar Atkinson | Family Medicine | 2425 Kathryn Drive, Hastings, MI 49058 | 2013-10-29 |
| 1689006918 | Bosley Pharmacy No. 2 Inc | Pharmacy | 118 S. Jefferson St., Hastings, MI 49058 | 2013-08-09 |
| 1740539345 | Kristen Burpee | Physical Therapist | 535 W. Woodlawn, Hastings, MI 49058 | 2012-08-29 |
| 1932344819 | Timothy York Adams | Counselor | 1100 Willitts Rd, Hastings, MI 49058 | 2008-12-08 |
| 1689820169 | Jennifer L Nobert | Physician Assistant | 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 | 2008-08-15 |
| 1457578072 | Sue Ellen Eastman | Social Worker | 350 Meadow Run Drive, #3, Hastings, MI 49058 | 2007-04-18 |
| Find all providers in zip 49058 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215981493 | State of Nebraska Dept. of Adm. Svcs | Psychiatric Hospital | 4200 W 2nd St, Hastings, NE 68901-9700 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285277814 | Lansing Senior Partners LLC | Psychiatric Hospital | 3512 Coolidge Rd, East Lansing, MI 48823-6376 | 2019-10-27 |
| 1336498013 | Genesys Hillside Behavioral Services | Psychiatric Hospital | 4396 Meadows Ave, Grand Blanc, MI 48439-8689 | 2012-09-10 |
| 1275727653 | Head To Mind Psychiatric Services Inc | Psychiatric Hospital | 19450 Argyle Cres, Detroit, MI 48203-1402 | 2007-08-29 |
| 1629108766 | Circle of Life | Psychiatric Hospital | 24080 Seneca St, Oak Park, MI 48237-3725 | 2007-03-07 |
| 1205973922 | Circle of Life Psychiatric Hospital | Psychiatric Hospital | 403 Village Green Blvd, Apt 106, Ann Arbor, MI 48105-3612 | 2007-01-31 |
| 1588672406 | T & G Corporation Inc | Psychiatric Hospital | 4050 E 12 Mile Rd, Warren, MI 48092-2534 | 2006-08-04 |
| 1053342220 | Havenwyck Hospital Inc | Psychiatric Hospital | 1525 University Dr, Auburn Hills, MI 48326-2673 | 2006-07-06 |
| 1710918362 | Henry Ford Health System | Psychiatric Hospital | 10300 W 8 Mile Rd, Ferndale, MI 48220-2100 | 2006-07-05 |
| 1033108832 | Triangle Industries Inc | Psychiatric Hospital | 15000 Gratiot Ave, Detroit, MI 48205-1973 | 2005-10-14 |
| 1053841650 | Havenwyck Hospital Inc | Psychiatric Hospital | 101 W Townsend Rd, St Johns, MI 48879 | 2017-06-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PINE REST CHRISTIAN MENTAL HEALTH SERVICES.
| 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.