Eastern Grouphome

LBN: Eastern Grouphome
Eastern Grouphome is an health care organization with primary practice located at 5770 Eastern Ave Se , Grand Rapids MI 49508-6281. The organization recently has only one registered license in Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, which is considered as the primary health care specialty. Eastern Grouphome can be contacted via phone (616) 516-3888, or through Asfaha, Amanuel via phone (616) 516-3888.

Contact Information

Primary practice address
5770 Eastern Ave Se Grand Rapids MI 49508-6281
Phone: (616) 516-3888
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Asfaha, Amanuel
Phone: (616) 516-3888

Health care specialties

SpecialtyCodeLicense #State
Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization 251T00000X

Profile Details

NPI number 1639687213
LBN Legal business name Eastern Grouphome
DBA Doing business as
Authorized official Asfaha, Amanuel
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2018
Last updated Jan 17th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers