Active NPI
Ludington Woods Retirement Village
- Assisted Living Facility
- Ludington, MI
National Provider Identifier
1225365919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL530245952
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23D1102192 | Other | MI | CLIA |
National Provider Directory
National Provider DirectoryLocations
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
- Chelsie Ann Loeser, NP
- Pritesh V Lohar, MD
- Ludington Dental, PLLC
- Ludington Family Dental PLLC
- Ludington Opco, LLC (Medilodge of Ludington)
- Ludington Woods Retirement Village (Ludington Woods Retirement Village - Laboratory)
- Michael E Luttropp Jr., M.D.
- Lisa Anne Luttrull, DPT
- Ted J Lutz, HEARING AID DEALER
- Courtney Madsen, RN
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.