Organization Active NPI

Lakeview Adult Foster Care Home

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Curtis, MI
National Provider Identifier
1225345978
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
AM490290970 Issued in MI
Legal business name
LAKEVIEW ADULT FOSTER CARE HOME
Practice address
W17345 Main Street
Curtis, MI 49820
Phone
(906) 586-6934
Fax
(906) 586-6935
NPI assigned
Sep 1, 2010
Last updated
Sep 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Lena Darlene Sutton
Title
Owner/Administrator
Phone
(906) 586-6934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X AM490290970 MI Primary

Addresses

Primary practice location

W17345 Main Street
Curtis, MI 49820

Mailing address

PO Box 189
Curtis, MI 49820-0189
Phone (906) 586-6934

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1225345978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "CURTIS",
            "state": "MI",
            "postal_code": "498200189",
            "telephone_number": "906-586-6934",
            "fax_number": "906-586-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W17345 MAIN STREET",
            "city": "CURTIS",
            "state": "MI",
            "postal_code": "49820",
            "telephone_number": "906-586-6934",
            "fax_number": "906-586-6935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW ADULT FOSTER CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "LENA",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "906-586-6934"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AM490290970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Curtis, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.