| Thrive Pediatric Speech And Feeding Therapy, Llc | |
|
2855 44th St Sw Ste 160 Grandville MI 49418-2682 | |
| (616) 379-9887 | |
| Not Available |
| Full Name | Thrive Pediatric Speech And Feeding Therapy, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2855 44th St Sw Ste 160, Grandville, Michigan |
| Authorized Official Name and Position | Meghan Vandewater (SPEECH-LANGUAGE PATHOLOGIST) |
| Authorized Official Contact | 9893703262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Pediatric Speech And Feeding Therapy, Llc 2855 44th St Sw Ste 160 Grandville MI 49418-2682 Ph: (616) 379-9887 | Thrive Pediatric Speech And Feeding Therapy, Llc 2855 44th St Sw Ste 160 Grandville MI 49418-2682 Ph: (616) 379-9887 |
| NPI Number | 1265074827 |
|---|---|
| Provider Enumeration Date | 10/15/2019 |
| Last Update Date | 09/19/2022 |
| Medicare PECOS PAC ID | 8325471873 |
|---|---|
| Medicare Enrollment ID | O20191213002136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265074827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Meghan Lynn Vandewater |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053953935 PECOS PAC ID: 9234562786 Enrollment ID: I20191213002183 |
| Provider Name | Aimee Heiniger |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891307476 PECOS PAC ID: 7214354984 Enrollment ID: I20200826000827 |
| Provider Name | Dalila Mariz Salas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487248910 PECOS PAC ID: 9830505395 Enrollment ID: I20210308001460 |
| Provider Name | Mackenzie Galbreath |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124510714 PECOS PAC ID: 1254787427 Enrollment ID: I20231024002051 |
| Provider Name | Nicole Roubos |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336841188 PECOS PAC ID: 2860831328 Enrollment ID: I20240416003738 |
Michigan Medical Patient Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Port Sheldon Rd Sw, Grandville, MI 49418 Phone: 616-457-3050 | |
Michigan Medical Patient Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3550 Fairlanes Ave Sw, Grandville, MI 49418 Phone: 616-531-7220 | |
Corewell Health Medical Group West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3185 Macatawa Dr Sw, Suite A, Grandville, MI 49418 Phone: 616-391-4500 | |
Corewell Health Medical Group West Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6105 Wilson Ave Sw, Grandville, MI 49418 Phone: 616-486-5025 | |
Tandy L. Champion, D.o., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4166 56th St., Sw, Grandville, MI 49418 Phone: 616-249-1850 Fax: 616-532-8657 | |
John J. Potente P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3181 Prairie St Sw, Suite 105, Grandville, MI 49418 Phone: 616-249-1800 |