REST HAVEN HOMES INC (NPI# 1548537103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548537103 |
| Entity Type | Organization |
| Organization Name | REST HAVEN HOMES INC |
| Practice Address |
1424 Union Ave Ne Grand Rapids MI 49505-5197 |
| Mailing Address |
1424 Union Ne Grand Rapids MI 49505-5197 |
| Practice Telephone | 6163636819 |
| Practice Fax Number | 6163631658 |
| Mailing Telephone | 6163636819 |
| Mailing Fax Number | 6163631658 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |
| Authorized Official Name | TERRY RUTH CARRICK (ADMINISTRATOR OF FINANCE) |
| Authorized Official Telephone | 6163636819 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 1070000412 | MI | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | AH410236876 | MI | Nursing & Custodial Care Facilities |
| Street Address |
1424 UNION AVE NE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505-5197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587696 | Friesen & Friesen, Inc | Assisted Living Facility | 1971 Ne 1st Avenue, Grand Rapids, MN 55744 | 2020-10-29 |
| 1285290197 | The Emeralds At Grand Rapids Assisted Living LLC | Assisted Living Facility | 2815 S Highway 169, Grand Rapids, MN 55744-9532 | 2019-05-15 |
| 1023587227 | Northwoods Villa Inc. 2 | Assisted Living Facility | 1200 Gunn Rd, Grand Rapids, MN 55744-9212 | 2018-11-16 |
| 1588176432 | Brookstone Manor, Inc. | Assisted Living Facility | 722 N Pokegama Ave, Grand Rapids, MN 55744-2669 | 2017-11-01 |
| 1144769506 | Resolute Adult Living Facility | Assisted Living Facility | 1414 Eastern Ave Se, Grand Rapids, MI 49507-2024 | 2017-02-18 |
| 1548667694 | Fcsl Grand Rapids, LLC | Assisted Living Facility | 949 Sw 11th Ave, Grand Rapids, MN 55744-3562 | 2014-12-04 |
| 1780081877 | Fcsl Grand Rapids, LLC | Assisted Living Facility | 949 1/2 Sw 11th Street, Grand Rapids, MN 55744 | 2014-12-04 |
| 1720350341 | Christian Rest Home Association | Assisted Living Facility | 1010 Edison Ave Nw, Grand Rapids, MI 49504-3918 | 2012-01-27 |
| 1396016796 | Northview Care Corp. | Assisted Living Facility | 3740 Richton Ave Ne, Grand Rapids, MI 49525-2463 | 2012-01-18 |
| 1629238878 | Samaritas | Assisted Living Facility | 1900 32nd St Se, Grand Rapids, MI 49508-7908 | 2008-06-11 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
Please comment or provide details below to improve the information on REST HAVEN HOMES INC.
| 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.