Organization Active NPI

Retirement Living Management of Standale L.L.C

Doing business as Green Acres of Standale

  • Assisted Living Facility
  • Lowell, MI
National Provider Identifier
1508262676
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL700355094 Issued in MI
Legal business name
RETIREMENT LIVING MANAGEMENT OF STANDALE L.L.C
Doing business as
Green Acres of Standale
Practice address
1845 Birmingham
Lowell, MI 49331-8664
Phone
(616) 431-3021
Fax
(616) 431-3022
NPI assigned
Nov 17, 2014
Last updated
Nov 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Kristen Nitz
Title
Administrator
Phone
(616) 431-3021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL700355094 MI Primary

Addresses

Primary practice location

1845 Birmingham
Lowell, MI 49331-8664

Mailing address

11276 1St Avenue
Grand Rapids, MI 49534
Phone (616) 431-3021

Other names 1

  • Green Acres of Standale Doing business as

National Provider Directory

National Provider Directory

Locations

11276 1st Ave NW
Grand Rapids, MI 49534
Phone (206) 673-8329

NPI Registry JSON

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1508262676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11276 1ST AVENUE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49534",
            "telephone_number": "616-431-3021",
            "fax_number": "616-431-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 BIRMINGHAM",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493318664",
            "telephone_number": "616-431-3021",
            "fax_number": "616-431-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETIREMENT LIVING MANAGEMENT OF STANDALE L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "NITZ",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "616-431-3021"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL700355094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Acres of Standale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lowell, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.