BURGIS (NPI# 1689115610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689115610 |
| Entity Type | Organization |
| Organization Name | BURGIS |
| Practice Address |
4895 Burgis Ave Se Kentwood MI 49508-4747 |
| Practice Telephone | 6168054696 |
| Mailing Telephone | 6168054696 |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | JOSEPHINE FARAI MUJENI (LICENSEE) |
| Authorized Official Telephone | 6168054696 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AS410379919 | MI | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | BURGIS BROOK ALPACAS, LLC | 44 North Canterbury Rd., Canterbury, CT 06331 |
| Connecticut Business Registrations | BURGIS OWN LLC | 47 Valley Drive, Voluntown, CT 06384 |
| Colorado Business Entities | Burgiss Inc | 111 River Street, 10th Floor, Hoboken, NJ 07030 |
| Street Address |
4895 BURGIS AVE SE |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49508-4747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801396650 | Merle Dorcelle Haines | Custodial Care Facility | 5721 Christie Ave Se, Kentwood, MI 49508-6236 | 2018-02-19 |
| 1801326897 | Sammy Murithi Kiruki | Custodial Care Facility | 2167 Innwood Dr Se, Kentwood, MI 49508-5036 | 2017-06-13 |
| 1952830143 | Martha Guardado | Custodial Care Facility | 5689 Gentian Ct Se, Kentwood, MI 49508-6403 | 2017-06-09 |
| 1356879621 | Nervilyn Jenkins-atkins | Custodial Care Facility | 2215 Bentbrook Ct Se, Kentwood, MI 49508-6313 | 2017-05-31 |
| 1518408681 | 44th Home Care LLC | Custodial Care Facility | 2720 44th St Se, Kentwood, MI 49512-3805 | 2017-03-09 |
| 1235679143 | New Outlook | Custodial Care Facility | 3051 Lowry Ct Se, Kentwood, MI 49512-5330 | 2017-02-27 |
| 1548700529 | Harvest Care Homes | Custodial Care Facility | 504 Sandy St Se, Kentwood, MI 49548-5921 | 2017-02-24 |
| 1033658208 | Zawadi Usa LLC | Custodial Care Facility | 4793 Millhaven Dr Se, Kentwood, MI 49548-4386 | 2017-02-21 |
| 1245779115 | Jacquelyn Williams | Custodial Care Facility | 2841 32nd St Se, Kentwood, MI 49512-1755 | 2017-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201267 | Living Waters Buell Lake | Custodial Care Facility | 13515 N Genesee Rd, Clio, MI 48420-9190 | 2020-09-29 |
| 1063028694 | Zcare | Custodial Care Facility | 8676 Auburn St, Detroit, MI 48228-2919 | 2020-09-18 |
| 1306452917 | Caring Hearts Afc | Custodial Care Facility | 1029 Westmoreland Ave, Kalamazoo, MI 49006-5567 | 2020-09-18 |
| 1790397594 | St. Ruth's House of Hope LLC | Custodial Care Facility | 3100 S Electric St, Detroit, MI 48217-1133 | 2020-08-21 |
| 1497364442 | Bolton Brook Manor | Custodial Care Facility | 4554 Thomas Rd, Metamora, MI 48455-9220 | 2020-07-27 |
| 1578171104 | Dream Housing Opportunities LLC | Custodial Care Facility | 304 Wetmore St, Howell, MI 48843-1559 | 2020-07-20 |
| 1194343046 | Creekside Place, Inc. | Custodial Care Facility | 7251 N Briarcliff Knoll Dr, West Bloomfield, MI 48322-4049 | 2020-07-08 |
| 1174140420 | Linda Perrault | Custodial Care Facility | 1551 S Hickory Ridge Rd, Milford, MI 48380-1519 | 2020-07-02 |
| 1063039923 | Visel Afc, Inc. | Custodial Care Facility | 6565 Whitneyville Ave Se, Alto, MI 49302-9027 | 2020-06-26 |
| 1982226775 | August Winter House, Inc. | Custodial Care Facility | 2111 N Latson Rd, Howell, MI 48855-9750 | 2020-05-14 |
| Find all providers with the same taxonomy | ||||
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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.