Villa Maria Retirement

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

VILLA MARIA RETIREMENT

Practice address

1305 Walker Ave NW
Grand Rapids, MI 49504-4098

Phone

(616) 459-9701

Fax

(616) 776-8402

NPI assigned

Sep 9, 2013

Last updated

Sep 9, 2013By 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. Dennis Meade

Title

Executive Director

Phone

(616) 459-9701

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1568897684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WALKER AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044098",
            "telephone_number": "616-459-9701",
            "fax_number": "616-776-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WALKER AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044098",
            "telephone_number": "616-459-9701",
            "fax_number": "616-776-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA MARIA RETIREMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "MEADE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-459-9701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime Lee Viers, CPNP
• Katelyn Vigelius
• Jennifer Elaine Viggiano, F.N.P
• Melissa Pearl Vigh
• Adriana Vilca Uzategui
• Thomas David Villalobos Jr., MD
• Corazon Manejo Villanueva, PT
• Nicole Marie Villanueva, MSW, LMSW
• John Villar, D.M.D.
• Jesus Alejandro Villarreal

• Preferred Provider Organization in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Preferred Provider Organization in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.