Active NPI
Northcrest Operating Co., Inc.
- Assisted Living Facility
- North Muskegon, MI
National Provider Identifier
1245358142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- NORTHCREST OPERATING CO., INC.
- Practice address
- 2650 Ruddiman Dr
North Muskegon, MI 49445-3260 - Phone
- (231) 744-2447
- Fax
- (231) 744-2448
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
National Provider Directory
National Provider Directory- Tax ID family
- Northcrest Assisted Living
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- North Muskegon, MI
- NPI 1154754034
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keith Yoder
- Title
- Cfo
- Phone
- (614) 416-0600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | MI | Primary |
Addresses
Primary practice location
2650 Ruddiman Dr
North Muskegon, MI 49445-3260
Mailing address
5000 Hakes Dr
Suite 600
Norton Shores, MI 49441-5574
Phone (231) 799-6870
Other names 1
- Northcrest Assisted Living Community
NPI Registry JSON
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195430400000",
"number": "1245358142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 HAKES DR",
"address_2": "SUITE 600",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494415574",
"telephone_number": "231-799-6870",
"fax_number": "231-799-0250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 RUDDIMAN DR",
"city": "NORTH MUSKEGON",
"state": "MI",
"postal_code": "494453260",
"telephone_number": "231-744-2447",
"fax_number": "231-744-2448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHCREST OPERATING CO., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2007-11-19",
"status": "A",
"authorized_official_last_name": "YODER",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "614-416-0600"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Northcrest Assisted Living Community",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.