Organization Active NPI

Appledorn Assisted Living Center

  • Assisted Living Facility
  • Holland, MI
National Provider Identifier
1235565169
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AH700236753 Issued in MI
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

Updated by the provider on Sep 24, 2013

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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2073382Appledorn Assisted Living Center727 Apple Ave, Holland, MI 49423Certificate of waiverFeb 17, 2028

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.