Provider Demographics
NPI:1952179640
Name:G.I.N.A.S GIVING INFORMATION NETWORKING ADVOCACY & SUPPORT
Entity Type:Organization
Organization Name:G.I.N.A.S GIVING INFORMATION NETWORKING ADVOCACY & SUPPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-389-3469
Mailing Address - Street 1:3976 RESERVE DR SW
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49418-7334
Mailing Address - Country:US
Mailing Address - Phone:616-389-3469
Mailing Address - Fax:
Practice Address - Street 1:2487 FOX RUN RD SW APT 5
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49519-4115
Practice Address - Country:US
Practice Address - Phone:616-416-5091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-13
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251V00000XAgenciesVoluntary or Charitable
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)