Farmington Nursing, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

FARMINGTON NURSING, LLC

Practice address

34225 Grand River Ave
Farmington, MI 48335-3440

Phone

(248) 477-7373

NPI assigned

Jan 17, 2013

Organization subpart

No

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

Authorized official

Name

Bretton J Bolt

Title

Ceo

Phone

(301) 991-1388

Specialties & licenses 1

Addresses

Other names 1

• White Pine Rehabilitation & Healthcare of Farmington Doing business as

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1457699043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 IONIA AVE SW STE 506",
            "address_2": "WHITE PINE MANAGEMENT, LLC C/O BIG BAY VENTURES, LLC",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034179",
            "telephone_number": "301-991-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34225 GRAND RIVER AVE",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483353440",
            "telephone_number": "248-477-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON NURSING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "BOLT",
        "authorized_official_first_name": "BRETTON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-991-1388"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Pine Rehabilitation & Healthcare of Farmington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family Dentistry of Farmington
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• Farmington Dermatologists PC
• Farmington Family Dental PLLC
• Farmington Nursing, LLC
• Farmington Opco LLC
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• Five Star Quality Care-Mi LLC

• Skilled Nursing Facility in Farmington, MI
• Providers in Farmington, MI by specialty
• Skilled Nursing Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; 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.