SPECTRUM HEALTH WORTH SERVICES NPI 1164734364

NPI Information

  • NPI: 1164734364
  • Provider Name: SPECTRUM HEALTH WORTH SERVICES
  • Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
  • Entity Type: Organization
  • Doing Business As: SPECTRUM HEALTH NEURO REHAB SERVICES-RESIDENTIAL
  • Address: 4130 KALAMAZOO AVE SE
    MAIL CODE 017
    GRAND RAPIDS, MI
    ZIP 49508
  • Phone: (616) 455-7300

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NPI Details

SPECTRUM HEALTH WORTH SERVICES is a residential treatment facility physical disabilities in Grand Rapids, MI. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently. SPECTRUM HEALTH WORTH SERVICES NPI is 1164734364. The provider is registered as an organization entity type.
The provider Is Doing Business As Spectrum Health Neuro Rehab Services-residential.

The provider's business location address is:

4130 KALAMAZOO AVE SE
MAIL CODE 017
GRAND RAPIDS, MI
ZIP 49508-605
Phone: (616) 455-7300

The provider's authorized official is Lawrence J Oberst .
The authorized official title is Shcc/director Of Finance and has the following contact phone number (616) 486-2405.

The enumeration date for this NPI number is 7/6/2010 and was last updated on 7/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320700000XResidential Treatment Facility, Physical DisabilitiesYes

What is NPI?

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This page was last updated on: 11/21/2025

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