NPIMap

Organization Active NPI

Retirement Living Management of Cadillac, L.L.C

Doing business as Green Acre Cadillac

  • Custodial Care Facility
  • Cadillac, MI
National Provider Identifier
1558771725
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
AL830244420 Issued in MI
Legal business name
RETIREMENT LIVING MANAGEMENT OF CADILLAC, L.L.C
Doing business as
Green Acre Cadillac
Practice address
235 Pearl St
Cadillac, MI 49601-2615
Phone
(231) 775-5300
Fax
(231) 775-5040
NPI assigned
Apr 28, 2014
Last updated
Apr 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Authorized official

Name
Sharease Beaudet
Title
Administrator
Phone
(231) 775-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X AL830244420 MI Primary

Addresses

Primary practice location

235 Pearl St
Cadillac, MI 49601-2615

Mailing address

235 Pearl St
Cadillac, MI 49601-2615
Phone (231) 775-5300

Other names 1

  • Green Acre Cadillac Doing business as

National Provider Directory

National Provider Directory

Locations

235 Pearl St
Cadillac, MI 49601
Phone (231) 775-5300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1558771725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PEARL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012615",
            "telephone_number": "231-775-5300",
            "fax_number": "231-775-5040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PEARL ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012615",
            "telephone_number": "231-775-5300",
            "fax_number": "231-775-5040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETIREMENT LIVING MANAGEMENT OF CADILLAC, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "BEAUDET",
        "authorized_official_first_name": "SHAREASE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "231-775-5300"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "MI",
            "license": "AL830244420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Acre Cadillac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cadillac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.