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FULL CIRCLE CARE LLC NPI 1942850391


NPI Information

NPI: 1942850391
Provider Name: FULL CIRCLE CARE, LLC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization

CLIA Number: 23D2238599

Address:
5040 CASCADE RD SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 447-1980
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FULL CIRCLE CARE, LLC is a day training developmentally disabled services in Grand Rapids, MI. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. FULL CIRCLE CARE, LLC NPI is 1942850391. The provider is registered as an organization entity type.

The provider's business location address is:

5040 CASCADE RD SE
GRAND RAPIDS, MI
ZIP 49546-725
Phone: (616) 447-1980

The provider's authorized official is Marissa Vanderweele .
The authorized official title is Program Manager and has the following contact phone number (616) 540-6649.

The CLIA number assigned to this NPI record is 23D2238599 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/18/2019 and was last updated on 9/18/2019.


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
1251C00000XDay Training, Developmentally Disabled ServicesYes

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: 11/14/2023

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