Organization Active NPI

Ludington Woods Retirement Village

  • Assisted Living Facility
  • Ludington, MI
National Provider Identifier
1225365919
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL530245952 Issued in MI
Legal business name
LUDINGTON WOODS RETIREMENT VILLAGE
Practice address
502 N Sherman St
Ludington, MI 49431-1989
Phone
(231) 845-6100
NPI assigned
Nov 17, 2009
Last updated
Nov 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Marla Zatarga
Title
Administrator
Phone
(231) 845-6100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL530245940 MI
Assisted Living Facility 310400000X AL530245952 MI Primary

Addresses

Primary practice location

502 N Sherman St
Ludington, MI 49431-1989

Mailing address

3196 Kraft Ave SE
Suite 200
Grand Rapids, MI 49512-2078

Other identifiers 1

IdentifierTypeStateIssuer
23D1102192OtherMICLIA

National Provider Directory

National Provider Directory

Locations

502 N Sherman St
Ludington, MI 49431
Phone (231) 845-6100

NPI Registry JSON

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": "1225365919",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N SHERMAN ST",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311989",
            "telephone_number": "231-845-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUDINGTON WOODS RETIREMENT VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "ZATARGA",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "231-845-6100"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL530245940",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL530245952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D1102192",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

  • 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.