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HOMEWARD PHYSICIANS PLLC NPI 1538828314


NPI Information

NPI: 1538828314
Provider Name: HOMEWARD PHYSICIANS , PLLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 24D2288466

Address:
2627 E BELTLINE AVE SE STE 220
GRAND RAPIDS, MI
ZIP 49546
Phone: (844) 279-8615
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HOMEWARD PHYSICIANS , PLLC is a general practice in Grand Rapids, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee HOMEWARD PHYSICIANS , PLLC NPI is 1538828314. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2627 E BELTLINE AVE SE STE 220
GRAND RAPIDS, MI
ZIP 49546-937
Phone: (844) 279-8615

The provider's authorized official is Jonathan Rouwhorst .
The authorized official title is Chief Operation Officer and has the following contact phone number (616) 402-8353.

The CLIA number assigned to this NPI record is 24D2288466 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/9/2021 and was last updated on 10/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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