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Jerry'S Dream Adult Homes

Adult Care Home Facility in Grand Rapids, MI · enumerated 2017 · authorized official Vickie Runyon, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689102931

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Registry record

Entity type Organization (Type 2)
Legal business name Jerry'S Dream Adult Homes
Practice address 1124 W Leonard Ct Nw, Grand Rapids, MI, 49534
Enumeration date May 31, 2017
Last updated in NPPES May 31, 2017

Taxonomy & classification

311ZA0620X Adult Care Home Facility Nursing & Custodial Care Facilities · License AS410269764 (MI) Primary
311ZA0620X Adult Care Home Facility Nursing & Custodial Care Facilities · License AS410269763 (MI) Secondary

Authorized official

Name Vickie Runyon
Title Owner

Other identifiers

Identifier Type State Issuer
1174395 Medicaid MI -
9493156 Medicaid MI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Jerry'S Dream Adult Homes?
Jerry'S Dream Adult Homes is registered in NPPES as a Adult Care Home Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-05-31.