RAEKESHA LACHELLE MCMILLIAN
NPI 1053837922
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Grand Rapids, MI

Q: What is Raekesha Mcmillian's NPI number?

The NPI number for Raekesha Mcmillian is 1053837922. It was assigned to this individual provider in the NPPES registry on August 22, 2017.

Q: What is Raekesha Mcmillian's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

Active since August 22, 2017

820 WATKINS ST SE, GRAND RAPIDS, MI 49507(616) 427-4570 Get Directions Write a Review

NPPES record last updated: August 22, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Raekesha Lachelle Mcmillian NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAEKESHA LACHELLE MCMILLIAN (NPI 1053837922) is an individual assisted living, behavioral disturbances provider in Grand Rapids, Michigan, licensed in Michigan (AS410388538) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1053837922

Entity TypeIndividualFemale

Primary Taxonomy3104A0630X

Provider Legal NameRAEKESHA LACHELLE MCMILLIAN

Location Address820 WATKINS ST SEGrand Rapids, MI 49507-1345

Mailing Address1232 Kalamazoo Ave SeGrand Rapids, MI 49507-1923 · (616) 427-4570

Phone(616) 427-4570

Sole ProprietorYes

Enumeration DateAugust 22, 2017

✔ NPI 1053837922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities

Taxonomy Code3104A0630X

License✔ Licensed in MI · AS410388538

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.

820 WATKINS ST SE, Grand Rapids, MI 49507

Open in Google Maps ↗

Other Identifiers 1

MedicaidW314730488684MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raekesha Mcmillian's NPI number?

The NPI number for Raekesha Mcmillian is 1053837922. It was assigned to this individual provider in the NPPES registry on August 22, 2017.

Where is Raekesha Mcmillian located?

Raekesha Mcmillian practices at 820 Watkins St SE, Grand Rapids, MI 49507. The listed phone number is (616) 427-4570.

What is Raekesha Mcmillian's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

What insurance does Raekesha Mcmillian accept?

Health plans from WellPoint list Raekesha Mcmillian as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raekesha Mcmillian was last updated on August 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.