Active NPI
Appledorn Assisted Living Center
- Assisted Living Facility
- Holland, MI
National Provider Identifier
1235565169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AH700236753
- Legal business name
- APPLEDORN ASSISTED LIVING CENTER
- Practice address
- 727 Apple Ave
Holland, MI 49423-5405 - Phone
- (616) 392-4650
- Fax
- (616) 392-3937
- NPI assigned
- Sep 24, 2013
- 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
- Mr. Scott A Reenders
- Title
- Authorized Agent
- Phone
- (616) 842-2425
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AH700236753 | MI | Primary |
Addresses
Primary practice location
727 Apple Ave
Holland, MI 49423-5405
Mailing address
727 Apple Ave
Holland, MI 49423-5405
Phone (616) 392-4650
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2073382 | Appledorn Assisted Living Center | Certificate of waiver | Feb 17, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379980800000",
"number": "1235565169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 APPLE AVE",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494235405",
"telephone_number": "616-392-4650",
"fax_number": "616-392-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 APPLE AVE",
"city": "HOLLAND",
"state": "MI",
"postal_code": "494235405",
"telephone_number": "616-392-4650",
"fax_number": "616-392-3937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APPLEDORN ASSISTED LIVING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-24",
"last_updated": "2013-09-24",
"status": "A",
"authorized_official_last_name": "REENDERS",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "AUTHORIZED AGENT",
"authorized_official_telephone_number": "616-842-2425",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MI",
"license": "AH700236753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Holland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.