GREAT LAKES HOME MODIFICATION LLC
NPI 1487033601
Home Health in Wyoming, MI

Q: What is Great Lakes Home Modification LLC's NPI number?

The NPI number for Great Lakes Home Modification LLC is 1487033601. It was assigned to this organization in the NPPES registry on May 20, 2015.

Q: What is Great Lakes Home Modification LLC's specialty?

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

Active since May 20, 2015

3555B BYRON CENTER AVE SW, WYOMING, MI 49519(616) 261-4046 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Great Lakes Home Modification Llc NPPES

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

GREAT LAKES HOME MODIFICATION LLC (NPI 1487033601) is a healthcare organization registered as a home health in Wyoming, Michigan and active in the NPI registry since May 2015. The organization lists David Charles Rush, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1487033601

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameGREAT LAKES HOME MODIFICATION LLC

Location Address3555B BYRON CENTER AVE SWWyoming, MI 49519-3259

Mailing Address3555b Byron Center Ave SwWyoming, MI 49519-3259 · (616) 261-4046

Phone(616) 261-4046

Organization SubpartNo

Authorized OfficialDavid Charles RushManaging Partner · (616) 261-4046

Enumeration DateMay 20, 2015

✔ NPI 1487033601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

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.

3555B BYRON CENTER AVE SW, Wyoming, MI 49519

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREAT LAKES HEALTHCARE RESOURCES, LLC

Home Health

3555B BYRON CENTER AVE SW
WYOMING, MI 49519

Kent County (616) 261-4046

GREAT LAKES HEALTHCARE RESOURCES-LAKESHORE LLC

Home Health

3555B BYRON CENTER AVE SW
WYOMING, MI 49519

Kent County (616) 261-4046

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 Great Lakes Home Modification LLC's NPI number?

The NPI number for Great Lakes Home Modification LLC is 1487033601. It was assigned to this organization in the NPPES registry on May 20, 2015.

Where is Great Lakes Home Modification LLC located?

Great Lakes Home Modification LLC is located at 3555B Byron Center Ave SW, Wyoming, MI 49519. The listed phone number is (616) 261-4046.

What is Great Lakes Home Modification LLC'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 Great Lakes Home Modification LLC was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.