NPIMap

Organization Active NPI

Platinum Living LLC

  • Assisted Living Facility
  • Hudsonville, MI
National Provider Identifier
1588094775
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AS700317377 Issued in 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
Last updated
Nov 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Authorized official

Name
Brenda WodarskiNPI 1043640337
Title
Administrator
Phone
(616) 540-3038

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AS700317377 MI Primary

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385337600000",
    "number": "1588094775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3761 BRADWOOD CT NW",
            "city": "WALKER",
            "state": "MI",
            "postal_code": "495342722",
            "telephone_number": "616-540-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 S BLUFF CT",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261580",
            "telephone_number": "616-209-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLATINUM LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A",
        "authorized_official_last_name": "WODARSKI",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "616-540-3038"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AS700317377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudsonville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.