MEDICARE: VISITING NURSE SERVICES OF WESTERN MICHIGAN

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
1	251E00000X	Home Health Agency		MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	OE009	OTHER	MI	BCBS

General Provider Information

NPI Number	:	1659356061
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISITING NURSE SERVICES OF WESTERN MICHIGAN

Provider Business Mailing Address
First Line	:	1401 CEDAR STREET NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49503
Country	:	US
Telephone Number	:	616-486-3900
Fax Number	:	616-643-9060

Provider Business Practice Location Address
First Line	:	1239 E BELTLINE AVE NE
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49525-4501
Country	:	US
Telephone Number	:	616-486-3900
Fax Number	:	616-486-3999

Authorized Official
Title or Position	:	VP FINANCE
Name	:	MATTHEW E COX
Credential	:
Telephone Number	:	616-391-1663

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	10/29/2024

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Directions to “VISITING NURSE SERVICES OF WESTERN MICHIGAN ” Practice Location

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