Provider Demographics
NPI:1497386312
Name:ACTI-KARE
Entity Type:Organization
Organization Name:ACTI-KARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMPFSCHULTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-710-3187
Mailing Address - Street 1:1586 HILLSBORO AVE SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-9721
Mailing Address - Country:US
Mailing Address - Phone:616-490-9615
Mailing Address - Fax:813-412-5952
Practice Address - Street 1:1586 HILLSBORO AVE SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-9721
Practice Address - Country:US
Practice Address - Phone:616-490-9615
Practice Address - Fax:813-412-5952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-29
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care