EASTERN GROUPHOME
NPI 1639687213
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization in Grand Rapids, MI

Active since January 17, 2018
5770 EASTERN AVE SE, GRAND RAPIDS, MI 49508(616) 516-3888 Get Directions Write a Review

NPPES record last updated: January 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastern Grouphome NPPES

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

EASTERN GROUPHOME (NPI 1639687213) is a healthcare organization registered as a program of all-inclusive care for the elderly (pace) provider organization in Grand Rapids, Michigan and active in the NPI registry since January 2018. The organization lists Amanuel Asfaha, Owener, as its authorized official.

NPPES Registry Identity

NPI1639687213
Entity TypeOrganization
Primary Taxonomy251T00000X
Legal Business NameEASTERN GROUPHOME
Location Address5770 EASTERN AVE SEGrand Rapids, MI 49508-6281
Mailing Address5770 Eastern Ave SeGrand Rapids, MI 49508-6281 · (616) 516-3888
Organization SubpartNo
Authorized OfficialAmanuel AsfahaOwener · (616) 516-3888
Enumeration DateJanuary 17, 2018
NPI 1639687213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251T00000X
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
5770 EASTERN AVE SE, Grand Rapids, MI 49508

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 Eastern Grouphome's NPI number?

The NPI number for Eastern Grouphome is 1639687213. It was assigned to this organization in the NPPES registry on January 17, 2018.

Where is Eastern Grouphome located?

Eastern Grouphome is located at 5770 Eastern Ave SE, Grand Rapids, MI 49508. The listed phone number is (616) 516-3888.

What is Eastern Grouphome's specialty?

The primary specialty registered for this NPI is Program of All-Inclusive Care for the Elderly (PACE) Provider Organization with taxonomy code 251T00000X.

When was this NPI record last updated?

The NPPES record for Eastern Grouphome was last updated on January 17, 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.