Organization Active NPI

Holton Management, LLC

  • Adult Care Home Facility
  • Grand Rapids, MI
National Provider Identifier
1306372396
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
AS410261725 Issued in MI
Legal business name
HOLTON MANAGEMENT, LLC
Practice address
2101 Francis Ave SE
Grand Rapids, MI 49507-3016
Phone
(616) 459-9331
Fax
(616) 459-9331
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica Louise Adams
Title
Vice President
Phone
(616) 459-9331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AS410261725 MI Primary

Addresses

Primary practice location

2101 Francis Ave SE
Grand Rapids, MI 49507-3016

Mailing address

304 Madison Ave SE
Grand Rapids, MI 49503-4618
Phone (616) 459-9331

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1306372396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MADISON AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034618",
            "telephone_number": "616-459-9331",
            "fax_number": "616-459-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 FRANCIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073016",
            "telephone_number": "616-459-9331",
            "fax_number": "616-459-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLTON MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "616-459-9331"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS410261725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.