Woodlawn Meadows Retirement Village

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL080242139 Issued in MI

Legal business name

WOODLAWN MEADOWS RETIREMENT VILLAGE

Practice address

1821 N East St
Hastings, MI 49058-1367

Phone

(269) 948-4921

NPI assigned

Nov 24, 2009

Organization subpart

No

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

Authorized official

Name

Shannon Vanhouten

Title

Administrator

Phone

(269) 948-4921

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Woodlawn Meadows Retirement Village2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Woodlawn Meadows Retirement Village

  • Clinical Medical Laboratory
  • Hastings, MI
  • NPI 1265646095
  NPD tax ID

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259020800000",
    "number": "1508194986",
    "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": "1821 N EAST ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581367",
            "telephone_number": "269-948-4921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAWN MEADOWS RETIREMENT VILLAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A",
        "authorized_official_last_name": "VANHOUTEN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "269-948-4921"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL080242139",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL080242121",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D1046098",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Craig Wisner, LLMSW
• Womens Health First PC
• Beverly J. Wood
• Jimmie Daniel Woodall, DO
• Woodlawn Meadows Retirement Village
• Woodlawn Meadows Retirement Village, LLC (Woodlawn Meadows Retirement Village - Laboratory)
• Sandra Woodmansee
• June Wright, LLMSW
• Michael James Youn, PT
• Amy Young, LMSW

• Assisted Living Facility in Hastings, MI
• Providers in Hastings, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.

Verify at the official NPI Registry.