White Lake Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AH610314487 Issued in MI

Legal business name

WHITE LAKE ASSISTED LIVING

Practice address

6827 Whitehall Rd
Whitehall, MI 49461-9656

Phone

(231) 893-8730

Fax

(231) 894-9417

NPI assigned

Aug 20, 2013

Organization subpart

Yes

Parent organization

LEISURE LIVING MANAGMENTAs reported in NPPES

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

Authorized official

Name

Ms. Lindsey Haley

Title

Director of Operations

Phone

(616) 901-2986

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1053744599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 KRAFT AVE SE",
            "address_2": "SUITE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495122078",
            "telephone_number": "616-464-1564",
            "fax_number": "616-464-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6827 WHITEHALL RD",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494619656",
            "telephone_number": "231-893-8730",
            "fax_number": "231-894-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE LAKE ASSISTED LIVING",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEISURE LIVING MANAGMENT",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "616-901-2986",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MI",
            "license": "AH610314487",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AH610314487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores East, LP
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• Karen Kay Welter
• White Lake Chiropractic Centre Inc
• Whitehall SNF, LLC
• Torry Wild
• Janet Marie Williams, LLP, LPC
• Patricia A Wood, LMSW

• Assisted Living Facility in Whitehall, MI
• Providers in Whitehall, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.