Eastern Grouphome
NPI 1639687213ActiveOrganization· PACE Provider Organization· Grand Rapids, MI
PACE Provider Organization in Grand Rapids, Michigan, registered in NPPES in January 2018. The authorized official on file is Amanuel Asfaha, Owener.
Overview
| NPI | 1639687213 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 17, 2018 |
| Last updated in NPPES | Jan 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| PACE Provider Organization Primary | 251T00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|