Pleasant View Manor Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AM0410377803 Issued in MI

Legal business name

PLEASANT VIEW MANOR INC

Practice address

16000 Pine Lake Ave
Sand Lake, MI 49343-9551

Phone

(616) 696-2400

Fax

(616) 696-9073

NPI assigned

Feb 27, 2017

Last updated

Feb 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Julie Kay Brooks

Title

Owner/Administrator

Phone

(616) 696-2400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1104366921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 PINE LAKE AVE",
            "city": "SAND LAKE",
            "state": "MI",
            "postal_code": "493439551",
            "telephone_number": "616-696-2400",
            "fax_number": "616-696-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 PINE LAKE AVE",
            "city": "SAND LAKE",
            "state": "MI",
            "postal_code": "493439551",
            "telephone_number": "616-696-2400",
            "fax_number": "616-696-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VIEW MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "616-696-2400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AM0410377803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Sand Lake, MI
• Providers in Sand Lake, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.