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BRIAN RICHARD KOOIKER SR.
NPI 1740718394
Custodial Care Facility - Adult Care Home in Belmont, MI

Active since May 26, 2017
6909 CANNONSBURG RD NE, BELMONT, MI 49306(616) 745-6619(616) 883-6736 Get Directions Write a Review

NPPES record last updated: May 26, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brian Richard Kooiker Sr. NPPES

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

BRIAN RICHARD KOOIKER SR. (NPI 1740718394) is an individual adult care home provider in Belmont, Michigan, licensed in Michigan (AF410356288) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1740718394
Entity TypeIndividualMale
Primary Taxonomy311ZA0620X
Provider Legal NameBRIAN RICHARD KOOIKER SR.
Location Address6909 CANNONSBURG RD NEBelmont, MI 49306-9123
Mailing Address6909 Cannonsburg Rd NeBelmont, MI 49306-9123 · (616) 745-6619 · Fax (616) 883-6736
Phone(616) 745-6619
Fax(616) 883-6736
Sole ProprietorYes
Enumeration DateMay 26, 2017
✔ NPI 1740718394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in MI · AF410356288
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
6909 CANNONSBURG RD NE, Belmont, MI 49306
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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 Brian Kooiker's NPI number?

The NPI number for Brian Kooiker is 1740718394. It was assigned to this individual provider in the NPPES registry on May 26, 2017.

Where is Brian Kooiker located?

Brian Kooiker practices at 6909 Cannonsburg Rd NE, Belmont, MI 49306. The listed phone number is (616) 745-6619.

What is Brian Kooiker's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Brian Kooiker was last updated on May 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.