LIFE THERAPEUTIC SOLUTIONS, INC (NPI# 1114329489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114329489 |
| Entity Type | Organization |
| Organization Name | LIFE THERAPEUTIC SOLUTIONS, INC |
| Practice Address |
4934 Luxemburg St Se Grand Rapids MI 49546-8406 |
| Mailing Address |
Po Box 90002 Wyoming MI 49509-9919 |
| Practice Telephone | 8104343339 |
| Practice Fax Number | 8552073270 |
| Mailing Telephone | 8104343339 |
| Mailing Fax Number | 8552073270 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-09-18 |
| Authorized Official Name | MRS. KRISTINE KADING SCHWAB (ADMINISTRATION) |
| Authorized Official Telephone | 8104343339 |
| Authorized Official Credential | CTRS, ATRIC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043680838 | Life Therapeutic Solutions, Inc | Home Health | 2740 Harbor Dr Se, Kentwood, MI 49512-9026 | 2015-10-06 |
| 1487024212 | Life Therapeutic Solutions, Inc | Home Health | 1208 Griswold St Se, Grand Rapids, MI 49507-3815 | 2015-10-06 |
| 1114397940 | Life Therapeutic Solutions, Inc | Home Health | 561 Parkside Ave Nw, Grand Rapids, MI 49534-3410 | 2015-10-06 |
| 1033481643 | Life Therapeutic Solutions, Inc | Recreation Therapist | 389 Abbey Mill Dr Se, Ada, MI 49301-7754 | 2012-01-30 |
| Street Address |
4934 LUXEMBURG ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912240482 | Janna Kortman | Recreation Therapist | 4934 Luxemburg St Se, Grand Rapids, MI 49546-8406 | 2013-04-02 |
| 1881256386 | Nina R Barcheski | Recreation Therapist | 4934 Luxemburg St Se, Grand Rapids, MI 49546-8406 | 2019-07-03 |
| 1477052165 | Juliana Barla | Recreation Therapist | 4934 Luxemburg St Se, Grand Rapids, MI 49546-8406 | 2018-02-07 |
| 1225543689 | Nicole Thomas | Recreation Therapist | 4934 Luxemburg St Se, Grand Rapids, MI 49546-8406 | 2017-12-07 |
| 1477955698 | Jennifer Ayre | Recreation Therapist | 4934 Luxemburg St Se, Grand Rapids, MI 49546-8406 | 2014-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1013487990 | Compass Behavioral Health LLC | Community/Behavioral Health | 2214 Norway St, Grand Rapids, MN 55744-9654 | 2018-12-04 |
| 1972041721 | Community Recovery Counseling Center, Pllc | Community/Behavioral Health | 1975 Jefferson Ave Se, Grand Rapids, MI 49507-2511 | 2017-02-01 |
| 1275079923 | Kool Counseling, LLC | Community/Behavioral Health | 2335 Burton St Se, Suite 130, Grand Rapids, MI 49506-4669 | 2017-01-18 |
| 1700253895 | Living Well Recreation Therapy | Community/Behavioral Health | 1351 Sherman St Se, Grand Rapids, MI 49506-2613 | 2015-08-25 |
| 1699157677 | First Call for Help of Itasca County | Community/Behavioral Health | 1007 Nw 4th St, Grand Rapids, MN 55744-2203 | 2015-06-25 |
| 1417355322 | Melita Travis Johnson, Lmsw, Ccdp | Community/Behavioral Health | 770 Kenmoor Ave Se Ste 103, Grand Rapids, MI 49546-8602 | 2014-12-09 |
| 1093134926 | J Hill Psychological Services L.l.c | Community/Behavioral Health | 201 Nw 4th St Ste 7, Grand Rapids, MN 55744-2753 | 2014-04-08 |
| 1457774242 | The Asian Center | Community/Behavioral Health | 4040 Fulton St E, Grand Rapids, MI 49546-1352 | 2014-01-29 |
| 1083059141 | Joyce Lenise Williams | Community/Behavioral Health | 1440 Fuller Ave Se, Grand Rapids, MI 49507-2191 | 2013-05-02 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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| 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.