INTEGRATIVE REHABILITATION MEDICAL LLC


Address: 1515 Michigan St Ne Ste 115, Grand Rapids, MI 49503-2031
Phone: 6166902424

INTEGRATIVE REHABILITATION MEDICAL LLC (NPI# 1548751746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548751746
Entity Type Organization
Organization Name INTEGRATIVE REHABILITATION MEDICAL LLC
Other Organization Name INTEGRATIVE RECOVERY, LLC
Practice Address 1515 Michigan St Ne Ste 115
Grand Rapids
MI 49503-2031
Practice Telephone 6166902424
Practice Fax Number 6168256139
Mailing Telephone 6166902424
Enumeration Date 2018-05-23
Last Update Date 2018-05-23
Authorized Official Name TODD PAUL O'DELL (OWNER/OPERATOR)
Authorized Official Telephone 6166902424
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
Suppliers

Other Provider/Organization Names

Other Name Type Code
Integrative Recovery, LLC Doing Business As Name - Organization

Office Location

Street Address 1515 MICHIGAN ST NE STE 115
City GRAND RAPIDS
State MI
Zip Code 49503-2031

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1265061378 Heather Gladfelter Student in an Organized Health Care Education/Training Program 339 Barclay Ave Ne Ste 300, Grand Rapids, MI 49503 2020-04-02
1194368647 Amy Jo Arends Nurse Practitioner 350 Lafayette S.e., Suite 301, Grand Rapids, MI 49503 2019-10-28
1376185199 Beth Arce Occupational Therapist 245 Cherry St Se Suite 302, Grand Rapids, MI 49503 2019-10-14
1295387256 Althea Ziolkowski Licensed Practical Nurse Salvation Army Turning Point Programs, 1215 Fulton St E, Grand Rapids, MI 49503 2019-07-10
1790340719 Heather Anne Fox Occupational Therapist Marywood, 111 Lakeside Dr Ne, Grand Rapids, MI 49503 2019-05-06
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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417364100 Northern Orthotic and Prosthetic Center Durable Medical Equipment & Medical Supplies 1279 S Pokegama Ave, Grand Rapids, MN 55744-4208 2014-07-15
1932534138 United Seating and Mobility LLC Durable Medical Equipment & Medical Supplies 502 Se 10th St, Grand Rapids, MN 55744-3921 2013-09-06
1427359082 Home Health Depot, Inc. Durable Medical Equipment & Medical Supplies 4503 Clay Ave Sw, Grand Rapids, MI 49548-3066 2010-11-12
1578897559 Mobility Center Inc. Durable Medical Equipment & Medical Supplies 4280 Plainfiled Ave Ne, Grand Rapids, MI 49525-1194 2009-09-24
1447583356 Huizingh's Furniture Durable Medical Equipment & Medical Supplies 528 28th St Se, Grand Rapids, MI 49548-1263 2009-09-09
1306093463 Custom Medical Equipment LLC Durable Medical Equipment & Medical Supplies 1001 S Pokegama Ave Ste A, Grand Rapids, MN 55744-3919 2008-08-20
1255481933 Michael J. Crawford, M.d., P.C. Durable Medical Equipment & Medical Supplies 415 College Ave Ne, Grand Rapids, MI 49503-1705 2007-01-12
1003834946 Carelinc Medical Equipment & Supply Co LLC Durable Medical Equipment & Medical Supplies 89 54th St Sw, Grand Rapids, MI 49548-5609 2006-07-18
1831570555 Richard S Neuman Dds P C Durable Medical Equipment & Medical Supplies 3930 Burton St Se, Grand Rapids, MI 49546-5819 2015-06-18
1528096997 Mary Free Bed Orthotics and Prosthetics Durable Medical Equipment & Medical Supplies 360 Lafayette Ave Se, Suite 330, Grand Rapids, MI 49503-4677 2006-06-28
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City GRAND RAPIDS
Zip Code 49503

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Dataset Information

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.

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