Oliver Woods Retirement Village

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL780258989 Issued in MI

Legal business name

OLIVER WOODS RETIREMENT VILLAGE

Practice address

1310 W Oliver St
Owosso, MI 48867-2156

Phone

(989) 729-6060

NPI assigned

Nov 17, 2009

Organization subpart

No

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

Authorized official

Name

Marsha Meeuwse-Hutson

Title

Administrator

Phone

(989) 729-6060

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1215264908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 KRAFT AVE SE",
            "address_2": "SUITE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495122078",
            "telephone_number": "616-464-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 W OLIVER ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672156",
            "telephone_number": "989-729-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVER WOODS RETIREMENT VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "MEEUWSE-HUTSON",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "989-729-6060"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL780258989",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL780262260",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL780282845",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D1102234",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylie O'Brien
• Katie Louise O'Dell
• Patrick J O'Hara
• Oakland Orthopedic Appliances Inc
• Jennifer Oldham
• Oliver Woods Retirement Village, LLC
• Shelby Oliver
• Timothy D Oliver, MD
• Kaitlin May Olson
• Samantha Ann Olson

• Assisted Living Facility in Owosso, MI
• Providers in Owosso, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.