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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL700355094
- 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, 2014
- 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
- Kristen Nitz
- Title
- Administrator
- Phone
- (616) 431-3021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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
- Karrie Leigh Quintino, MA, LLPC
- Jennifer C Quiroz, MS, LLPC
- James Edward Reagan, DDS
- Retirement Living Management of Alpena, L.L.C. (Turning Brook)
- Retirement Living Management of Lowell (Green Acres Lowell)
- Adam David Rhoda, P.T., D.P.T.
- Emily Anne Rienks
- Rite Aid of Michigan Inc (Rite Aid Pharmacy 01529)
- Riverside Dentistry PLLC
- Sherry Rodriguez
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.