Pleasant Acres LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

PLEASANT ACRES LLC

Practice address

31055 M 60
Leonidas, MI 49066-9432

Phone

(269) 496-9055

Fax

(269) 496-9762

NPI assigned

Aug 2, 2023

Last updated

Aug 2, 2023By 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

Autumn Gayle TaylorNPI 1366803116

Title

Home Owner/Licensee

Phone

(269) 213-7781

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Autumn Taylor

  • Case Manager/Care Coordinator
  • Leonidas, MI
  • NPI 1366803116
  NPD Authorized official

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1124700919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31055 M 60",
            "city": "LEONIDAS",
            "state": "MI",
            "postal_code": "490669432",
            "telephone_number": "269-496-9055",
            "fax_number": "269-496-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31055 M 60",
            "city": "LEONIDAS",
            "state": "MI",
            "postal_code": "490669432",
            "telephone_number": "269-496-9055",
            "fax_number": "269-496-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT ACRES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "HOME OWNER/LICENSEE",
        "authorized_official_telephone_number": "269-213-7781"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Lee Campbell
• Autumn Taylor

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Leonidas, MI
• Providers in Leonidas, MI by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.