IndividualActive
Michael Wagner
NPI 1336655034 · Adult Care Home Facility · Grand Rapids, MI
Michael Wagner is a Adult Care Home Facility provider in Grand Rapids, MI (NPI 1336655034).
Provider details
- NPI number
- 1336655034
- Entity type
- Individual
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- AF410387497 (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
807 Pine Ave Nw
Grand Rapids, MI 49504-4340
Phone: (616) 776-7094
Fax: (616) 776-7094
Street-level locationGet directions
Mailing address
807 Pine Ave Nw
Grand Rapids, MI 49504-4340
Registry dates
- Enumerated
- 2017-12-18
- Last updated
- 2017-12-18
Frequently asked questions
- What is Michael Wagner's NPI number?
- Michael Wagner's National Provider Identifier (NPI) is 1336655034, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Wagner's specialty?
- Michael Wagner is listed in the NPPES registry with a primary specialty of Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Michael Wagner located?
- Michael Wagner's practice location on file with NPPES is 807 Pine Ave Nw, Grand Rapids, MI 49504-4340.
- What is Michael Wagner's phone number?
- The practice phone number listed in the NPPES registry for Michael Wagner is (616) 776-7094.
- Is Michael Wagner's NPI active?
- Yes — Michael Wagner's NPI (1336655034) is active in the NPPES registry as of the last update on 2017-12-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.