HOPE NETWORK BEHAVOIRAL HEALTH SERVICES (NPI# 1366799900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366799900 |
| Entity Type | Organization |
| Organization Name | HOPE NETWORK BEHAVOIRAL HEALTH SERVICES |
| Other Organization Name | DART |
| Practice Address |
3333 36th St Se Grand Rapids MI 49512-2809 |
| Practice Telephone | 6169543540 |
| Practice Fax Number | 6169543541 |
| Mailing Telephone | 6169543540 |
| Mailing Fax Number | 6169543541 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |
| Authorized Official Name | MS. NAN C JORDAN (R.N.) |
| Authorized Official Telephone | 6167261966 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4704186193 | MI | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| DART | Other Name - Individual/Organization |
| Street Address |
3333 36TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49512-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861686784 | Lauren Elizabeth Spoon | Clinical Neuropsychologist | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2007-09-04 |
| 1942830963 | Shelby Vanhouten | Social Worker | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2020-01-17 |
| 1730673468 | Anna Derr | Registered Nurse | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2018-06-16 |
| 1700375615 | Amanda Michelle Waidelich | Counselor | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2018-05-07 |
| 1154861433 | Caroline Lynch | Registered Nurse | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2017-03-06 |
| 1396197802 | Lauren Scott | Social Worker | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2016-07-08 |
| 1295180602 | Ashley Crawford I | Registered Nurse | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2016-05-04 |
| 1841680436 | Darla K Stutzman | Registered Nurse | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2015-02-03 |
| 1316353550 | Megan Kimmerle Bowman | Case Manager/Care Coordinator | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2014-07-09 |
| 1417373481 | Jennifer Price | Counselor | 3333 36th St Se, Grand Rapids, MI 49512-2809 | 2014-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851830947 | Royal Care Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 507 Fuller Ave Se, Grand Rapids, MI 49506-2526 | 2017-02-22 |
| 1447799259 | Kleck Afc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 631 3 Mile Rd Ne, Grand Rapids, MI 49505-3362 | 2017-02-14 |
| 1841474012 | Mark Frederic Peterson I | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3351 36th St, Grand Rapids, MI 49331 | 2007-12-24 |
| 1528260700 | Real Life Living Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2920 Fuller Ave Ne Ste 103, Grand Rapids, MI 49505-3458 | 2007-06-01 |
| 1376722868 | Kent Residential Centers, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1225 Lake Dr Se, Grand Rapids, MI 49506-1656 | 2007-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144855123 | Hope Shores, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1383 E Maple Ave, Burton, MI 48529-2059 | 2020-03-10 |
| 1760030183 | Specially Made Co. LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 845 E Summerfield Glen Cir, Ann Arbor, MI 48103-9161 | 2019-08-28 |
| 1033776919 | South Coast Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 72633 M 43, South Haven, MI 49090-8734 | 2019-05-25 |
| 1275001448 | St. Jude's Assisted Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 509 S 22nd St, Escanaba, MI 49829-2247 | 2018-11-06 |
| 1457826315 | Northrop Loving Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17777 Northrop St, Detroit, MI 48219-2321 | 2018-10-08 |
| 1548745961 | Residential Opportunities Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 612 Landsdowne Ave, Portage, MI 49002-0556 | 2018-10-02 |
| 1134604051 | Unity Group II LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 63 Wood Dr, Coldwater, MI 49036-1046 | 2018-09-26 |
| 1578048401 | Unity Group V LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Wood Dr, Coldwater, MI 49036-1046 | 2018-09-26 |
| 1417432337 | Unity Group IIi LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1831 Case Dr, Union City, MI 49094-9348 | 2018-09-26 |
| 1033694963 | Unity Group Iv LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 126 Gail Ann Dr, Coldwater, MI 49036-9327 | 2018-09-26 |
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| City | GRAND RAPIDS |
| Zip Code | 49512 |
Please comment or provide details below to improve the information on HOPE NETWORK BEHAVOIRAL 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.