NPIMap

Organization Active NPI

Pasadena Villa Michigan, LLC

Doing business as Pasadena Villa Great Lakes

  • Psychiatric Residential Treatment Facility
  • Battle Creek, MI
National Provider Identifier
1598505968
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
PASADENA VILLA MICHIGAN, LLC
Doing business as
Pasadena Villa Great Lakes
Practice address
393 Roosevelt Ave E
Battle Creek, MI 49017-3333
Phone
(615) 864-8145
NPI assigned
May 31, 2024
Last updated
Apr 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Benjamin Brady
Title
Cfo
Phone
(615) 864-8145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X NU Primary

Addresses

Primary practice location

393 Roosevelt Ave E
Battle Creek, MI 49017-3333

Mailing address

2600 Lake Lucien Dr Ste 210
Maitland, FL 32751-7275

Other names 1

  • Pasadena Villa Great Lakes Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2310894Pasadena Villa - Great Lakes393 E Roosevelt Avenue, Battle Creek, MI 49017Certificate of waiverSep 11, 2026

National Provider Directory

National Provider Directory
Tax ID family
Pasadena Villa Michigan LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1598505968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 LAKE LUCIEN DR STE 210",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 ROOSEVELT AVE E",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173333",
            "telephone_number": "615-864-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASADENA VILLA MICHIGAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "615-864-8145"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasadena Villa Great Lakes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.