Extended Care at Ramsdell

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

EXTENDED CARE AT RAMSDELL

Practice address

3109 Lawton Dr NE
Grand Rapids, MI 49525-2916

Phone

(616) 361-6571

Fax

(616) 361-0852

NPI assigned

May 24, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Abraham Joshua

Title

Administrator

Phone

(616) 550-6411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649708488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 LAWTON DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495252916",
            "telephone_number": "616-361-6571",
            "fax_number": "616-361-0852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 LAWTON DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495252916",
            "telephone_number": "616-361-6571",
            "fax_number": "616-361-0852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED CARE AT RAMSDELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOSHUA",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "616-550-6411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.