KC Assisted Living Corporation

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

Legal business name

KC ASSISTED LIVING CORPORATION

Practice address

7884 Emery Rd
Portland, MI 48875-8727

Phone

(517) 719-9334

NPI assigned

Jun 30, 2026

Last updated

Jun 30, 2026By 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

Courtney Shafer

Title

Owner/RN

Phone

(517) 719-9334

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1144147364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7884 EMERY RD",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488758727",
            "telephone_number": "517-719-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7884 EMERY RD",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488758727",
            "telephone_number": "517-719-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC ASSISTED LIVING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-30",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER/RN",
        "authorized_official_telephone_number": "517-719-9334"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Registered Nurse in Portland, MI
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• Case Management Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.