Healthcare Provider Details

I. General information

NPI: 1952179640
Provider Name (Legal Business Name): G.I.N.A.S GIVING INFORMATION NETWORKING ADVOCACY & SUPPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2023
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2487 FOX RUN RD SW APT 5
WYOMING MI
49519-4115
US

IV. Provider business mailing address

3976 RESERVE DR SW
WYOMING MI
49418-7334
US

V. Phone/Fax

Practice location:
  • Phone: 616-416-5091
  • Fax:
Mailing address:
  • Phone: 616-389-3469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: REGINA KING
Title or Position: COORDINATOR
Credential:
Phone: 616-389-3469