NPIMap

Organization Active NPI

Ahsl Kentwood Operations, LLC

  • Assisted Living Facility
  • Kentwood, MI
National Provider Identifier
1386048080
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL 410365140 Issued in MI
Legal business name
AHSL KENTWOOD OPERATIONS, LLC
Practice address
5980 Eastern Ave SE
Kentwood, MI 49508-6215
Phone
(616) 455-7087
NPI assigned
Oct 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Robert Gillette, NHA
Title
Chief Operating Office
Phone
(248) 203-1800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL 410365140 MI Primary
Assisted Living Facility 310400000X AL 410365134 MH
Alzheimer Center (Dementia Center) 311500000X AL 410364896 MI

Addresses

Primary practice location

5980 Eastern Ave SE
Kentwood, MI 49508-6215

Mailing address

6755 Telegraph Rd Ste 330
Bloomfield Hills, MI 48301-3182
Phone (248) 203-1800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1386048080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6755 TELEGRAPH RD STE 330",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483013182",
            "telephone_number": "248-203-1800",
            "fax_number": "248-203-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5980 EASTERN AVE SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086215",
            "telephone_number": "616-455-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHSL KENTWOOD OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "GILLETTE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICE",
        "authorized_official_telephone_number": "248-203-1800",
        "authorized_official_credential": "NHA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL 410365140",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MH",
            "license": "AL 410365134",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MI",
            "license": "AL 410364896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kentwood, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.