IndividualActive
Raekesha Mcmillian
NPI 1053837922 · Assisted Living Facility (Behavioral Disturbances) · Grand Rapids, MI
Provider details
- NPI number
- 1053837922
- Entity type
- Individual
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- AS410388538 (MI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
820 Watkins St Se
Grand Rapids, MI 49507-1345
Phone: (616) 427-4570
Street-level locationGet directions
Mailing address
1232 Kalamazoo Ave Se
Grand Rapids, MI 49507-1923
Registry dates
- Enumerated
- 2017-08-22
- Last updated
- 2017-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.