Provider Type Icon

REST HAVEN HOMES INC NPI 1548537103


NPI Information

NPI: 1548537103
Provider Name: REST HAVEN HOMES INC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 23D2200985

Address:
1424 UNION AVE NE
GRAND RAPIDS, MI
ZIP 49505
Phone: (616) 363-6819
Get Directions

REST HAVEN HOMES INC is an assisted living facility in Grand Rapids, MI. The provider is 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. REST HAVEN HOMES INC NPI is 1548537103. The provider is registered as an organization entity type.

The provider's business location address is:

1424 UNION AVE NE
GRAND RAPIDS, MI
ZIP 49505-197
Phone: (616) 363-6819
Fax: (616) 363-1658

The provider's authorized official is Terry Ruth Carrick .
The authorized official title is Administrator Of Finance and has the following contact phone number (616) 363-6819.

The CLIA number assigned to this NPI record is 23D2200985 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2011 and was last updated on 11/28/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1313M00000XNursing Facility/Intermediate Care Facility1070000412MICHIGANNo
2310400000XAssisted Living FacilityAH410236876MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.