Ascension Assisted Living, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

AS410338232 Issued in MI

Legal business name

ASCENSION ASSISTED LIVING, LLC

Practice address

2646 Leonard St NW
Grand Rapids, MI 49504-3760

Phone

(616) 427-3381

Fax

(616) 427-3381

NPI assigned

Feb 19, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Bradford Oakley Martell

Title

Owner/Licensee

Phone

(616) 402-0477

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487462400000",
    "number": "1639618903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2752 SCHINDLER DR NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495449115",
            "telephone_number": "616-402-0477",
            "fax_number": "616-228-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 LEONARD ST NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495043760",
            "telephone_number": "616-427-3381",
            "fax_number": "616-427-3381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASCENSION ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-19",
        "last_updated": "2017-02-19",
        "status": "A",
        "authorized_official_last_name": "MARTELL",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "OAKLEY",
        "authorized_official_title_or_position": "OWNER/LICENSEE",
        "authorized_official_telephone_number": "616-402-0477",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS410338232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur M Daglow Counseling Center
• Joyce K Arthur
• Kristi E Artz, MD
• Adam D Asarch, M.D.
• Charles Andrew Asbury, D.O.
• Ascension Health III Afc LLC
• Ascentcare
• George Ascherl Jr., M.D.
• Karen Sayuri Aschwege
• Andrew Asdell, LMSW

• All providers in Grand Rapids, MI
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2017; 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.