WEDGWOOD CHRISTIAN SERVICES (NPI# 1730302308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730302308 |
| Entity Type | Organization |
| Organization Name | WEDGWOOD CHRISTIAN SERVICES |
| Practice Address |
3351 36th St Se Grand Rapids MI 49512-2809 |
| Practice Telephone | 6169422110 |
| Practice Fax Number | 6169420589 |
| Mailing Telephone | 6169422110 |
| Mailing Fax Number | 6169420589 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. KAREN DENISE VANDER MEULEN (CFO) |
| Authorized Official Telephone | 6168315551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | MI | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215047667 | Wedgwood Christian Services | Community/Behavioral Health | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2006-08-30 |
| 1154505337 | Wedgwood Christian Services | Community/Behavioral Health | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2007-12-24 |
| 1235252750 | Wedgwood Christian Services | Counselor | 300 68th St Se, Grand Rapids, MI 49548-6927 | 2007-04-09 |
| 1972635761 | Wedgwood Christian Services | Counselor | 2520 Eastern Ave Se, Grand Rapids, MI 49507-3633 | 2007-03-09 |
| 1326122516 | Wedgwood Christian Services | Counselor | 3180 Racquet Club Dr, Ste. G, Traverse City, MI 49684-4797 | 2006-10-24 |
| 1902997224 | Wedgwood Christian Services | Clinic/Center | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2006-09-28 |
| Street Address |
3351 36TH ST SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49512-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467838987 | Alexandra Hope Mckissick | Rehabilitation Practitioner | 3351 36th St Se, Grand Rapids, MI 49512-2809 | 2015-08-06 |
| 1790963304 | Ashley K Devos | Social Worker | 3351 36th St Se, Grand Rapids, MI 49512-2809 | 2008-02-06 |
| 1386828192 | Chad Michael Fessenden | Social Worker | 3351 36th St Se, Grand Rapids, MI 49512-2809 | 2007-12-28 |
| 1699959809 | Wayne E. Gort | Social Worker | 3351 36th St Se, Grand Rapids, MI 49512-2809 | 2007-12-24 |
| 1144420704 | Erin Celeste Williams | Counselor | 3351 36th St Se, Grand Rapids, MI 49512-2809 | 2007-07-23 |
| 1386844942 | Dillene Joanna Van Beek | Counselor | 3351 36th St Se, Grand Rapids, MI 49512-2809 | 2007-07-23 |
| 1437357068 | David Harvey Kinsman Sr. | Counselor | 3351 36th St Se, Grand Rapids, MI 49512-2809 | 2007-07-05 |
| 1891900965 | Jeffrey Sieg Michaelis | Counselor | 3351 36th St Se, Grand Rapids, MI 49512-2809 | 2007-05-11 |
| 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 | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988838 | Kiri Deyoung | Case Management | 878 Grandville Ave Sw Apt 4, Grand Rapids, MI 49503-4985 | 2019-08-20 |
| 1477043164 | The Grand Rapids Red Project | Case Management | 401 Hall St Se, Grand Rapids, MI 49507-1845 | 2018-05-17 |
| 1689171365 | La Quinn Menier | Case Management | 552 Valley Ave Nw, Grand Rapids, MI 49504-5065 | 2018-04-10 |
| 1528507860 | West Michigan Home Care Services, Inc | Case Management | 4982 Plainfield Ave Ne, Grand Rapids, MI 49525-1019 | 2017-02-20 |
| 1114314366 | Managed Senior Care LLC | Case Management | 625 Spring Ave Ne, Grand Rapids, MI 49503-1903 | 2015-04-24 |
| 1790126290 | First Steps Kent | Case Management | 118 Commerce Ave Sw Ste 300, Grand Rapids, MI 49503-4106 | 2013-07-12 |
| 1568732634 | Grand River Bands of Ottawa Indians Inc. | Case Management | 671 Davis Ave Nw, Grand Rapids, MI 49504-5139 | 2012-01-06 |
| 1639474539 | Home Care By Design Inc. | Case Management | 678 4 Mile Rd Ne, Grand Rapids, MI 49525-2106 | 2011-01-24 |
| 1316271323 | Ross Resources Ltd. | Case Management | 1895 W. Hwy. 2, Grand Rapids, MN 55744 | 2009-09-23 |
| 1639308455 | K & K Case Management Inc. | Case Management | 1605 Nw 4th St, Grand Rapids, MN 55744-2102 | 2009-07-14 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49512 |
Please comment or provide details below to improve the information on WEDGWOOD CHRISTIAN 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.