Grand Pines Assisted Living Center

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AH700299440 Issued in MI

Legal business name

GRAND PINES ASSISTED LIVING CENTER

Practice address

1410 S Ferry St
Grand Haven, MI 49417-2711

Phone

(616) 850-2150

Fax

(616) 850-2158

NPI assigned

Sep 24, 2013

Organization subpart

No

Name

Mr. Scott A Reenders

Title

Authorized Agent

Phone

(616) 842-2425

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2013.

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1124454053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 S FERRY ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172711",
            "telephone_number": "616-850-2150",
            "fax_number": "616-850-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 S FERRY ST",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172711",
            "telephone_number": "616-850-2150",
            "fax_number": "616-850-2158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND PINES ASSISTED LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "REENDERS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "616-842-2425",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AH700299440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Grand Haven, MI
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.