Grandhaven Living Center, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

23D1102203 Issued in MI

Legal business name

GRANDHAVEN LIVING CENTER, LLC

Practice address

3145 W Mount Hope Ave
Lansing, MI 48911-1665

Phone

(517) 485-5966

NPI assigned

Jul 9, 2010

Organization subpart

No

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

Authorized official

Name

Thomas Nobel

Title

President

Phone

(517) 485-5966

Specialties & licenses 1

Addresses

Other names 1

• Grandhaven Living Center - Laboratory Doing business as

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1427360239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 W MOUNT HOPE AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489111665",
            "telephone_number": "517-485-5966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 W MOUNT HOPE AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489111665",
            "telephone_number": "517-485-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDHAVEN LIVING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "NOBEL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-485-5966"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MI",
            "license": "23D1102203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grandhaven Living Center - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Graham
• Benjamin Andrew Graham, P.T.
• Bill Graham
• Mary Graham
• Grandhaven Living Center
• Rebecca Lynn Granet, BA, DP-C
• Mariah Lee Grange, AU.D.
• Brianna Lynn Granlund, D.O.
• Cheris Grasse, MPT
• Grassroots Community Counseling Services

• Clinical Medical Laboratory in Lansing, MI
• Providers in Lansing, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.