New Haven Assisted Living Inc

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

NEW HAVEN ASSISTED LIVING INC

Practice address

231 4TH St
Lakeview, MI 48850-5024

Phone

(616) 307-7719

NPI assigned

May 22, 2024

Last updated

May 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael John Dykstra

Title

Owner

Phone

(616) 307-7719

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1508605221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4364 LITTLE CREEK CT",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493197918",
            "telephone_number": "616-307-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 4TH ST",
            "city": "LAKEVIEW",
            "state": "MI",
            "postal_code": "488505024",
            "telephone_number": "616-307-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "DYKSTRA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-307-7719",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeview Health Partners by Sheridan
• Juanita Lloyd-Minkus
• Justice Nicole Luttrell, PA
• Victoria Ann Merren, NP
• Michele Leigh Miles, PA-C
• Ryan William Norris, PT
• Andrew Padden, D.C.
• Cathleen M Padden, D.C.
• Gary R Padden, D.C.
• Tiffany Rae Padden, D.C.

• Foster Care Agency in Lakeview, MI
• Providers in Lakeview, MI by specialty
• Foster Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.