Provider Demographics
NPI:1558745638
Name:ANRICHMENT HOME CARE
Entity Type:Organization
Organization Name:ANRICHMENT HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZYLEMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-634-6586
Mailing Address - Street 1:3721 TALLMAN AVE SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49508-5545
Mailing Address - Country:US
Mailing Address - Phone:616-634-6586
Mailing Address - Fax:
Practice Address - Street 1:445 ROSEMARY ST SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49507-3573
Practice Address - Country:US
Practice Address - Phone:616-634-6586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health