Active NPI
Arbor Grove Assisted Living
- Assisted Living Facility
- Alma, MI
National Provider Identifier
1437486164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AH290297372
- Legal business name
- ARBOR GROVE ASSISTED LIVING
- Practice address
- 1320 Pine Ave
Alma, MI 48801-1243 - Phone
- (989) 463-3074
- NPI assigned
- Nov 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vicki Barnum
- Title
- Administrator
- Phone
- (989) 463-3074
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AH290297372 | MI | Primary |
Addresses
Primary practice location
1320 Pine Ave
Alma, MI 48801-1243
Mailing address
3196 Kraft Ave SE
Suite 200
Grand Rapids, MI 49512-2078
Phone (616) 464-1564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23D1102199 | Other | MI | CLIA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258502400000",
"number": "1437486164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3196 KRAFT AVE SE",
"address_2": "SUITE 200",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495122078",
"telephone_number": "616-464-1564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 PINE AVE",
"city": "ALMA",
"state": "MI",
"postal_code": "488011243",
"telephone_number": "989-463-3074"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARBOR GROVE ASSISTED LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-18",
"last_updated": "2009-11-18",
"status": "A",
"authorized_official_last_name": "BARNUM",
"authorized_official_first_name": "VICKI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "989-463-3074"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "MI",
"license": "AH290297372",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "23D1102199",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alma, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.