Ahsl Spring Lake Operations, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL 700364920 Issued in MI

Legal business name

AHSL SPRING LAKE OPERATIONS, LLC

Practice address

18100 174TH Ave
Spring Lake, MI 49456-9766

Phone

(616) 844-2880

NPI assigned

Oct 10, 2014

Last updated

Oct 10, 2014By 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

Robert Gillette, NHA

Title

Chief Operating Office

Phone

(248) 203-1800

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412899200000",
    "number": "1174927735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 TELEGRAPH RD",
            "address_2": "SUITE 330",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013180",
            "telephone_number": "248-203-1800",
            "fax_number": "248-203-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 174TH AVE",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494569766",
            "telephone_number": "616-844-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHSL SPRING LAKE OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-10",
        "last_updated": "2014-10-10",
        "status": "A",
        "authorized_official_last_name": "GILLETTE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICE",
        "authorized_official_telephone_number": "248-203-1800",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL 700364917",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL 700365243",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL 700364920",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MI",
            "license": "AL 700365146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.