EXALTA HEALTH (NPI# 1588840854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588840854 |
| Entity Type | Organization |
| Organization Name | EXALTA HEALTH |
| Practice Address |
2060 Division Ave S Grand Rapids MI 49507-3029 |
| Mailing Address |
15 Andre St Se Grand Rapids MI 49507-3010 |
| Practice Telephone | 6164758446 |
| Mailing Telephone | 6164758420 |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2017-12-13 |
| Authorized Official Name | WILLIAM PAXTON (PRESIDENT) |
| Authorized Official Telephone | 6164751363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | LV012688 | MI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4355710 | 05 |
| Street Address |
2060 DIVISION AVE S |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49507-3029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111407 | Nathanael Curtis | Nurse Practitioner | 2060 Division Ave S, Grand Rapids, MI 49507-3029 | 2020-10-16 |
| 1902457229 | Allison Esther Meyaard-schaap | Social Worker | 2060 Division Ave S, Grand Rapids, MI 49507-3029 | 2019-09-27 |
| 1366004913 | Margaret Jane Vandenbosch | Dental Hygienist | 2060 Division Ave S, Grand Rapids, MI 49507-3029 | 2019-07-03 |
| 1497317036 | Deborah Lynn Schorr | Dental Hygienist | 2060 Division Ave S, Grand Rapids, MI 49507-3029 | 2019-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487156956 | Kristen Zvirbulis Keeter | Physical Therapist | 625 Kenmoor Ave. Se Ste 306, Grand Rapids, MI 49507 | 2018-03-01 |
| 1508371758 | Vanessa Woodard | Case Manager/Care Coordinator | 1939 S. Division Ave., Grand Rapids, MI 49507 | 2017-12-11 |
| 1306350624 | Courtney Nicole Porter | Social Worker | 1979 S Division Ave., Grand Rapids, MI 49507 | 2017-11-22 |
| 1518496900 | 733 Prince LLC | Custodial Care Facility | 733 Prince St Se, Grand Rapids, MI 49507 | 2017-06-08 |
| 1720515406 | Tiffanie Ryder | Massage Therapist | 1110 Merrified St, Grand Rapids, MI 49507 | 2017-05-12 |
| 1619404308 | Shedrice's Afc | Respite Care | 246 Powell Se Ave, Grand Rapids, MI 49507 | 2017-05-12 |
| 1992171748 | Richard Lavell Flowers | Non-emergency Medical Transport (VAN) | 1447 Elliott, Grand Rapids, MI 49507 | 2015-08-17 |
| 1982096087 | Jordana Seebeck | Social Worker | 1939 S. Division Se, Grand Rapids, MI 49507 | 2015-02-26 |
| 1083973135 | Carla May Waite | Social Worker | 1939 South Division, Grand Rapids, MI 49507 | 2012-05-10 |
| 1740550037 | Jamie Lee Dalton | Social Worker | 2017 College Ave Se, Grand Rapids, MI 49507 | 2012-01-04 |
| Find all providers in zip 49507 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176949 | Kimberly Buskirk | Specialist | 1131 Ionia Ava Nw, Grand Rapids, MI 49503 | 2020-05-19 |
| 1235765827 | Magic Touch Salon | Specialist | 746 Burton St Se, Grand Rapids, MI 49507-3204 | 2020-03-16 |
| 1255990552 | Kboose | Specialist | 3008 Juneberry Ave Se, Grand Rapids, MI 49508-1523 | 2019-06-10 |
| 1164874210 | Joshua Baron | Specialist | 2238 Godwin Ave Se, Grand Rapids, MI 49507-3130 | 2016-07-12 |
| 1396121620 | Kum Cha Monroe | Specialist | 4594 Plainfield Ave Ne Ste A, Grand Rapids, MI 49525-1646 | 2015-08-10 |
| 1538545132 | Lisa K. Townsend | Specialist | 1135 Walker Ave Nw, Grand Rapids, MI 49504-4062 | 2015-08-05 |
| 1992025464 | Cari L Brooks | Specialist | 1490 East Beltline Ave Se, Hope Network, Grand Rapids, MI 49506-4336 | 2010-06-08 |
| 1114128097 | Rumana Awan | Specialist | 1505 3 Mile Rd. N.w., Ste. B, Grand Rapids, MI 49544 | 2007-05-30 |
| 1942410931 | Michelle Terrell | Specialist | 1550 Three Mile Rd Nw Suite B, Grand Rapids, MI 49544 | 2007-05-22 |
| 1548395247 | Allan C Hoekzema Md PC | Specialist | 153 Lafayette Ave Se, Grand Rapids, MI 49503-4347 | 2007-02-22 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49507 |
Please comment or provide details below to improve the information on EXALTA HEALTH.
| 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.