Pleasant Pines Afc LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PLEASANT PINES AFC LLC

Practice address

15063 180TH Ave
Big Rapids, MI 49307-9513

Phone

(231) 796-4757

Fax

(231) 796-4757

NPI assigned

Nov 2, 2022

Last updated

Nov 2, 2022By 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

Elijah Craig English

Title

Owner/Administrator

Phone

(231) 679-2986

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1275240871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15063 180TH AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493079513",
            "telephone_number": "231-796-4757",
            "fax_number": "231-796-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15063 180TH AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493079513",
            "telephone_number": "231-796-4757",
            "fax_number": "231-796-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT PINES AFC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "ENGLISH",
        "authorized_official_first_name": "ELIJAH",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "231-679-2986"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Deana R Platz, OD
• Julie Kay Plummer
• John Joseph Pole, OD
• Devyn Dean Powell I, OTRL
• Adrianne Leigh Prentiss, LMSW, ACSW
• Jordan Michael Price, FNP-BC

• Adult Care Home Facility in Big Rapids, MI
• Providers in Big Rapids, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.