DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: RIPPLE EFFECTS INCLUSION CENTER

MEDICARE: RIPPLE EFFECTS INCLUSION CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
3261Q00000XClinic/Center

General Provider Information

NPI Number : 1790558633
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIPPLE EFFECTS INCLUSION CENTER
Provider Business Mailing Address
First Line : 2255 W CENTRE AVE
Second Line :
City : PORTAGE
State : MI
Zip : 49024-4819
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2255 W CENTRE AVE
Second Line :
City : PORTAGE
State : MI
Zip : 49024-4819
Country : US
Telephone Number : 269-257-9060
Fax Number :
Authorized Official
Title or Position : OFFICE ADMINISTRATOR
Name : ALICIA BANTA
Credential :
Telephone Number : 269-845-5970
Provider Enumeration Date : 11/02/2023
Last Update Date : 09/09/2024

Similar Medicare Providers

1952246969 — CLARENCE DAY
Practice Location Address:
2255 W CENTRE AVE
PORTAGE, MI
49024-4819
Practice Phone: 269-267-9060
Practice Fax:
1376488304 — HUNTER PERRY
Practice Location Address:
2255 W CENTRE AVE
PORTAGE, MI
49024-4819
Practice Phone: 269-257-9060
Practice Fax:
1720923758 — KIMBERLY STEELE
Practice Location Address:
2255 W CENTRE AVE
PORTAGE, MI
49024-4819
Practice Phone: 269-257-9060
Practice Fax:
1518681550 — HOSPICE CARE OF SOUTHWEST MICHIGAN
Practice Location Address:
2255 W CENTRE AVE
PORTAGE, MI
49024-4819
Practice Phone: 269-345-0273
Practice Fax: 269-345-8522
1679286165 — SARA JAIME
Practice Location Address:
2255 W CENTRE AVE
PORTAGE, MI
49024-4819
Practice Phone: 269-257-9060
Practice Fax:
1548098767 — HAILEY DANIELS
Practice Location Address:
2255 W CENTRE AVE
PORTAGE, MI
49024-4819
Practice Phone: 269-241-2700
Practice Fax:

Directions to “RIPPLE EFFECTS INCLUSION CENTER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.