NPIMap

Organization Active NPI

Assured Care Assisted Living, LLC

  • Clinical Medical Laboratory
  • Saint Joseph, MI
National Provider Identifier
1154633972
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
23D1102229 Issued in MI
Legal business name
ASSURED CARE ASSISTED LIVING, LLC
Practice address
3440 Niles Rd
Saint Joseph, MI 49085-9601
Phone
(269) 428-0715
NPI assigned
Jul 9, 2010
Organization subpart
No

National Provider Directory

National Provider Directory

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Authorized official

Name
Mr. Thomas Nobel
Title
President
Phone
(269) 428-0715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 23D1102229 MI Primary

Addresses

Primary practice location

3440 Niles Rd
Saint Joseph, MI 49085-9601

Mailing address

3440 Niles Rd
Saint Joseph, MI 49085-9601
Phone (269) 428-0715

Other names 1

  • The Willows - Laboratory Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1154633972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859601",
            "telephone_number": "269-428-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859601",
            "telephone_number": "269-428-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURED CARE ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "NOBEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-428-0715",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D1102229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Willows - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Joseph, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.