Country Haven

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AM410008796 Issued in MI

Legal business name

COUNTRY HAVEN

Practice address

413 E Muskegon St
Cedar Springs, MI 49319-9596

Phone

(616) 291-0530

NPI assigned

May 3, 2017

Last updated

May 3, 2017By 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

Thomas Cronkright

Title

Owner

Phone

(616) 291-0530

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1225564768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 E MUSKEGON ST",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493199596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 E MUSKEGON ST",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493199596",
            "telephone_number": "616-291-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "CRONKRIGHT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-291-0530"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MI",
            "license": "AM410008796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ling Lenia Chen
• Cherry Street Services Inc (Cedar Springs School Health Center)
• Cherry Street Services, Inc. (Cherry Health - Cedar Springs High School Health Center)
• Chloe Marie Coates
• Jodi Ann Cornelius, LLPC
• Krista Courser, BSW
• Debra Kay Couturier, CD, PCD
• Thomas Bernard Cox, P.A.
• Nancy Ann Crabbs
• Amanda Cusack, PHARMD

• Assisted Living Facility (Mental Illness) in Cedar Springs, MI
• Providers in Cedar Springs, MI by specialty
• Assisted Living Facility (Mental Illness) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.