NPIMap

Organization Active NPI

Retirement Living Management of Allendale L.L.C

Doing business as Green Acres of Allendale

  • Assisted Living Facility
  • Allendale, MI
National Provider Identifier
1033653415
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL700380147 Issued in MI
Legal business name
RETIREMENT LIVING MANAGEMENT OF ALLENDALE L.L.C
Doing business as
Green Acres of Allendale
Practice address
11289 Commerce Dr
Allendale, MI 49401-8222
Phone
(616) 892-1200
NPI assigned
Dec 5, 2016
Last updated
Dec 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chey Daza
Title
Administrator
Phone
(616) 892-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL700380147 MI Primary

Addresses

Primary practice location

11289 Commerce Dr
Allendale, MI 49401-8222

Mailing address

11289 Commerce Dr
Allendale, MI 49401-8222

Other names 1

  • Green Acres of Allendale Doing business as

National Provider Directory

National Provider Directory

Locations

11289 Commerce Dr
Allendale, MI 49401
Phone (616) 892-1200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1033653415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11289 COMMERCE DR",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11289 COMMERCE DR",
            "city": "ALLENDALE",
            "state": "MI",
            "postal_code": "494018222",
            "telephone_number": "616-892-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETIREMENT LIVING MANAGEMENT OF ALLENDALE L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "DAZA",
        "authorized_official_first_name": "CHEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "616-892-1200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL700380147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Acres of Allendale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allendale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.