Retirement Living Management of Lowell

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

AL410311105 Issued in MI

Legal business name

RETIREMENT LIVING MANAGEMENT OF LOWELL

Doing business as

Green Acres Lowell

Practice address

11530 Fulton St E
Lowell, MI 49331-9609

Phone

(616) 987-9115

Fax

(616) 987-9122

NPI assigned

Oct 24, 2013

Last updated

Oct 24, 2013By 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

Kelly Johnson

Title

Administrator

Phone

(616) 987-9115

Specialties & licenses 1

Addresses

Other names 1

• Green Acres Lowell Doing business as

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1174951446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11530 FULTON ST E",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319609",
            "telephone_number": "616-987-9115",
            "fax_number": "616-987-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11530 FULTON ST E",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319609",
            "telephone_number": "616-987-9115",
            "fax_number": "616-987-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETIREMENT LIVING MANAGEMENT OF LOWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "616-987-9115"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MI",
            "license": "AL410311105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Acres Lowell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Steven Previti, LMSW, LCSW
• Karrie Leigh Quintino, MA, LLPC
• Jennifer C Quiroz, MS, LLPC
• James Edward Reagan, DDS
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• Retirement Living Management of Standale L.L.C (Green Acres of Standale)
• Adam David Rhoda, P.T., D.P.T.
• Emily Anne Rienks
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 01529)
• Riverside Dentistry PLLC

• Custodial Care Facility in Lowell, MI
• Providers in Lowell, MI by specialty
• Custodial Care Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.