HARBOR HOUSE MINISTRIES, INC
NPI 1346517695
Custodial Care Facility - Adult Care Home in Jenison, MI

NPI Status: Active since November 30, 2011

Contact Information

919 44TH AVE
JENISON, MI
ZIP 49428
Phone: (616) 797-9920
Fax: (616) 797-9921

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  • Organization
  • Custodial Care Facility
  • Adult Care Home
  • Accepts Insurance
  • CLIA Number: 23D2202110
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 11-23-2026

About HARBOR HOUSE MINISTRIES, INC

This page provides the complete NPI Profile along with additional information for Harbor House Ministries, Inc, a provider established in Jenison, Michigan operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1346517695 assigned on November 2011. The practitioner's primary taxonomy code is 311ZA0620X with license number AM700257038 (MI). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mrs. Renee Michelle Veltema (Secretary, Board Of Directors)

NPI
1346517695
Provider Name
HARBOR HOUSE MINISTRIES, INC
Entity Type
Organization
Location Address
919 44TH AVE JENISON, MI 49428
Location Phone
(616) 797-9920
Location Fax
(616) 797-9921
Mailing Address
919 44TH AVE JENISON, MI 49428
Mailing Phone
(616) 797-9920
Mailing Fax
(616) 797-9921
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-30-2011
Last Update Date
11-30-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
AM700257038
License State
MI
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Wellpoint Essential Bronze 4000 HSA ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) - HMO
  • Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Catastrophic 9200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Gold POS 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. RENEE MICHELLE VELTEMA

Authorized Official Title
SECRETARY, BOARD OF DIRECTORS
Authorized Official Phone
(616) 797-9920

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2202110
Facility Type
Assisted Living Facility
Certificate Effective Date
November 24, 2024
Certificate Expiration Date
November 23, 2026
Laboratory Director
RENEE L. LANNING
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Harbor House Ministries, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for HARBOR HOUSE MINISTRIES, INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346517695
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
238610114618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 1 + 0 + 1 + 1 + 4 + 6 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1346517695 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215273735 NANCY BOERSEN RN
Individual
Registered Nurse919 44TH AVE
JENISON, MI 49428
(616) 797-9920
1497091912 RENEE LANNING RN
Individual
Registered Nurse919 44TH AVE
JENISON, MI 49428
(616) 797-9920

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346517695, enumerated in the NPI registry as an "organization" on November 30, 2011

The provider is located at 919 44th Ave Jenison, Mi 49428 and the phone number is (616) 797-9920

This medical organization specializes in Custodial Care Facility with taxonomy code 311ZA0620X with a focus in Adult Care Home

The provider might be accepting Accepts: WellPoint. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 23D2202110 for a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on November 30, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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