Pine Valley Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PINE VALLEY ASSISTED LIVING

Doing business as

Pine Valley Assisted Living

Practice address

1155 N 26TH St
Kalamazoo, MI 49048-9221

Phone

(269) 598-5595

NPI assigned

Jul 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Thomas A. Ongwela

Title

Adminstrator

Phone

(269) 598-5595

Specialties & licenses 1

Addresses

Other names 1

• Pine Valley Assisted Living Doing business as

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1649824913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 N 26TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490489221",
            "telephone_number": "269-598-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 N 26TH ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490489221",
            "telephone_number": "269-598-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE VALLEY ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "ONGWELA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "269-598-5595",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Valley Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prasanth Pillai, D.O
• Presley Pillars
• Helene Marie Pilnick, PH. D.
• Carissa Pilon
• Pine Rest Christian Mental Health Services
• Pine Way Group
• Natalie Pineda, BA, CHW
• Joyce Obermeyer Pines, M.A.
• Melissa G Pingel, PTA
• Alana Pinheiro Alves, MD

• Assisted Living Facility in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.