Leisure Living Management of Buchanan

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL110081160 Issued in MI

Legal business name

LEISURE LIVING MANAGEMENT OF BUCHANAN

Practice address

809 Caroll St
Buchanan, MI 49107-1738

Phone

(269) 695-6655

Fax

(269) 695-6673

NPI assigned

Apr 17, 2007

Organization subpart

Yes

Parent organization

LEISURE LIVING MANAGEMENT OF BUCHANANAs reported in NPPES

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

Authorized official

Name

Michelle Fields

Title

Executive Director

Phone

(269) 695-6655

Specialties & licenses 2

Addresses

Other names 1

• Buchanan Meadows Doing business as

Part of

Leisure Living Manage O

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1508082876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 CAROLL ST",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491071738",
            "telephone_number": "269-695-6655",
            "fax_number": "269-695-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 CAROLL ST",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491071738",
            "telephone_number": "269-695-6655",
            "fax_number": "269-695-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEISURE LIVING MANAGEMENT OF BUCHANAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEISURE LIVING MANAGEMENT OF BUCHANAN",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "269-695-6655"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL110081160",
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "MI",
            "license": "AL110065097",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buchanan Meadows",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rowan Kelley, MS
• Julia Kostyuk, FNP-BC
• Cori E Kretchman
• Lakeland Medical Practice
• Lakeland Medical Practices
• Long Acres Afc
• David Paul Ludwig, ATC
• Luminous Minds LLC
• Venugopal Reddy Maheshwaram
• Charles Lee May

• All providers in Buchanan, MI
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.