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STACEY HARRIS
NPI 1124564448
Home Health in Grand Haven, MI

Active since January 10, 2017
21 S BEECHTREE ST, GRAND HAVEN, MI 49417(616) 414-9440(844) 364-2565 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, Mar 17, 2018, Nov 7, 2017 and 1 more (4 updates tracked since 2017).

About Stacey Harris NPPES

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

STACEY HARRIS (NPI 1124564448) is an individual home health provider in Grand Haven, Michigan, licensed in Michigan (35-2578452) and active in the NPI registry since January 2017. She maintains a secondary practice location in Grand Haven.

NPPES Registry Identity

NPI1124564448
Entity TypeIndividualFemale
Primary Taxonomy251E00000X
Provider Legal NameSTACEY HARRIS
Location Address21 S BEECHTREE STGrand Haven, MI 49417-1603
Mailing Address21 S BeechtreeGrand Haven, MI 49417 · (616) 414-9440 · Fax (844) 364-2565
Phone(616) 414-9440
Fax(844) 364-2565
Sole ProprietorYes
Enumeration DateJanuary 10, 2017
Last NPPES UpdateJune 16, 20184 updates tracked since enumeration
✔ NPI 1124564448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in MI · 35-2578452
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
21 S BEECHTREE ST, Grand Haven, MI 49417
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Secondary Practice Location 1

Location 113856 Sugarbush LnGrand Haven, MI 49417-7725 · Phone (231) 557-1003

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 Stacey Harris's NPI number?

The NPI number for Stacey Harris is 1124564448. It was assigned to this individual provider in the NPPES registry on January 10, 2017.

Where is Stacey Harris located?

Stacey Harris practices at 21 S Beechtree St, Grand Haven, MI 49417. The listed phone number is (616) 414-9440.

What is Stacey Harris's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Stacey Harris was last updated on June 16, 2018. 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.