Organization Active NPI

Northview Care Corp.

Doing business as northview manor

  • Assisted Living Facility
  • Grand Rapids, MI
National Provider Identifier
1396016796
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL410007146 Issued in MI
Legal business name
NORTHVIEW CARE CORP.
Doing business as
northview manor
Practice address
3740 Richton Ave NE
Grand Rapids, MI 49525-2463
Phone
(616) 364-4690
Fax
(616) 364-4615
NPI assigned
Jan 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Scott Graves
Title
Pres.
Phone
(616) 364-4690

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL410007147 MI
Assisted Living Facility 310400000X AL410007146 MI Primary
Alzheimer Center (Dementia Center) 311500000X AL410007164 MI

Addresses

Primary practice location

3740 Richton Ave NE
Grand Rapids, MI 49525-2463

Mailing address

3740 Richton Ave NE
Grand Rapids, MI 49525-2463
Phone (616) 364-4690

Other names 1

  • northview manor Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1396016796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 RICHTON AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495252463",
            "telephone_number": "616-364-4690",
            "fax_number": "616-364-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 RICHTON AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495252463",
            "telephone_number": "616-364-4690",
            "fax_number": "616-364-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHVIEW CARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "616-364-4690"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL410007147",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL410007146",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MI",
            "license": "AL410007164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "northview manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 18, 2012; 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.