REST HAVEN HOMES INC
NPI 1548537103
Assisted Living Facility in Grand Rapids, MI

Active since November 28, 2011CLIA 23D2200985 · Waiver
1424 UNION AVE NE, GRAND RAPIDS, MI 49505(616) 363-6819(616) 363-1658 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rest Haven Homes Inc NPPES

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

REST HAVEN HOMES INC (NPI 1548537103) is a healthcare organization registered as an assisted living facility in Grand Rapids, Michigan and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Terry Ruth Carrick, Administrator Of Finance, as its authorized official.

NPPES Registry Identity

NPI1548537103
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameREST HAVEN HOMES INC
Location Address1424 UNION AVE NEGrand Rapids, MI 49505-5197
Mailing Address1424 Union NeGrand Rapids, MI 49505-5197 · (616) 363-6819 · Fax (616) 363-1658
Fax(616) 363-1658
Organization SubpartNo
Authorized OfficialTerry Ruth CarrickAdministrator Of Finance · (616) 363-6819
Enumeration DateNovember 28, 2011
NPI 1548537103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in MI · AH410236876
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Also ListedNursing Facility/Intermediate Care FacilityTaxonomy 313M00000X · License 1070000412 (MI)
1424 UNION AVE NE, Grand Rapids, MI 49505

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2200985

Rest Haven Homes Inc · Grand Rapids, MI
Active · expires Nov 17, 2026
CLIA Number23D2200985
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 18, 2024
Certificate Expiration DateNovember 17, 2026
Laboratory DirectorIsaac Taylor
Laboratory Phone(616) 363-6819
Laboratory LocationRest Haven Homes Inc1424 Union Ave NE, Grand Rapids, MI 49505
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Rest Haven Homes Inc's NPI number?

The NPI number for Rest Haven Homes Inc is 1548537103. It was assigned to this organization in the NPPES registry on November 28, 2011.

Where is Rest Haven Homes Inc located?

Rest Haven Homes Inc is located at 1424 Union Ave NE, Grand Rapids, MI 49505. The listed phone number is (616) 363-6819.

What is Rest Haven Homes Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Rest Haven Homes Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2200985) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rest Haven Homes Inc was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.