Sakshaug Group Home

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

AF410290158 Issued in MI

Legal business name

SAKSHAUG GROUP HOME

Practice address

9371 Westview Dr SE
Byron Center, MI 49315-9324

Phone

(616) 877-4131

Fax

(616) 877-4231

NPI assigned

Feb 16, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Warren Edward Sakshaug

Title

Ceo/Owner

Phone

(616) 877-4131

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1538608096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9371 WESTVIEW DR SE",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159324",
            "telephone_number": "616-877-4131",
            "fax_number": "616-877-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9371 WESTVIEW DR SE",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159324",
            "telephone_number": "616-877-4131",
            "fax_number": "616-877-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAKSHAUG GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "SAKSHAUG",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "616-877-4131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AF410290158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Marie Royce, NP
• Gerohnda Lynn Rushton, D.O.
• Emily Anne Rusticus, NP
• Kyleigh Rutgers
• Jennifer Ashley Saed, LLPC
• Sakshaug Group Homes LLC
• Valkyrie F Sakshaug
• Amy Naslund Sanborn, DO
• Geoffrey A Sandman, M.D.
• Laura Schipper, NP

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Byron Center, MI
• Providers in Byron Center, MI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.