Stanford Lodge

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

STANFORD LODGE

Practice address

409 Naomi St
Plainwell, MI 49080-1222

Phone

(269) 685-5821

Fax

(269) 685-5796

NPI assigned

Dec 1, 2022

Organization subpart

No

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

Authorized official

Name

Vashu Patel

Title

President

Phone

(269) 718-9040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1528778461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 NAOMI ST",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "490801222",
            "telephone_number": "269-685-5821",
            "fax_number": "269-685-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 NAOMI ST",
            "city": "PLAINWELL",
            "state": "MI",
            "postal_code": "490801222",
            "telephone_number": "269-685-5821",
            "fax_number": "269-685-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD LODGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VASHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-718-9040"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Sikes
• Nancy Agnes Smit, LMSW
• Amy Elizabeth Smith, LMSW
• Lisa Marie Smith, RPH
• Sean M Somers, PHARMD/RPH
• Blair Kay Steele
• Timothy Edgar Stewart, PH.D,
• Frederic Such
• The Counseling Center
• The Counseling Center, PC

• Assisted Living Facility in Plainwell, MI
• Providers in Plainwell, 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 Dec 1, 2022; 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.