Platinum Living LLC
Organization Active NPI Assisted Living Facility · Hudsonville, MI
NPI 1588094775 · NPPES record last updated Nov 25, 2013
Key facts
- NPI
- 1588094775
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- AS700317377 (MI)
- Legal business name
- PLATINUM LIVING LLC
- Practice address
- 3109 S Bluff CT
Hudsonville, MI 49426-1580 - Phone
- (616) 209-5029
- NPI assigned
- Nov 25, 2013
- Organization subpart
- No
Authorized official
- Name
- Brenda Wodarski
- Title
- Administrator
- Phone
- (616) 540-3038
Practitioners 18
-
Anas Ahmad, M.D.
-
Shahnaz Ali, M.D.
-
Piyush Bhatnagar, M.D.
-
Bernard Henry Eisenga, M.D.
-
Lisabeth Joy Gee, P.A.
-
Rebecca Ann Gingerich, PA-C
-
Corey J Hirdes, PA-C
-
Khushpal Kaur, N.P.
-
Diana Marie Loynes, NURSE PRACTITIONER
-
Patrick O Mulkerin, NP-C
-
Irene F Murunga, PA-C
-
Dana M Pigorsh, PA-C
-
Elizabeth Anne Smith, N.P.
-
Jill D Tallman, PA-C
-
Kelly S Teft, PA-C
-
Susan M Bailey, N.P.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AS700317377 | MI | Yes |
Addresses
Primary practice location
3109 S Bluff CT
Hudsonville, MI 49426-1580
Mailing address
3761 Bradwood CT NW
Walker, MI 49534-2722
Phone (616) 540-3038
Other providers in Hudsonville, MI
- Leah Ballantyne Peirce
- Billy J Perez
- Haley Christine Perry
- Phases Counseling and Wellness LLC
- Kevin Jon Piebenga
- Kati Marie Pohl
- Susan Elizabeth Portfleet
- Sara Potapa
- Traci L Potter
- Jacqueline Laura Prins
All providers in Hudsonville, MI · Assisted Living Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.