Organization Active NPI

Ms Cascade HS, LLC

  • Assisted Living Facility
  • Grand Rapids, MI
National Provider Identifier
1659913465
Registry record updated Oct 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MS CASCADE HS, LLC
Practice address
3041 Charlevoix Dr SE
Grand Rapids, MI 49546-7035
Phone
(616) 942-7200
Fax
(616) 942-7203
NPI assigned
Oct 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2019

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

Authorized official

Name
Mazie Pilut
Title
Director of Opertions
Phone
(616) 942-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

3041 Charlevoix Dr SE
Grand Rapids, MI 49546-7035

Mailing address

3041 Charlevoix Dr SE
Grand Rapids, MI 49546-7035
Phone (616) 942-7200

Other names 1

  • Sunrise of Cascade 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
23D2196670Sunrise of Cascade3041 Charlevoix Drive SE, Grand Rapids, MI 49546Certificate of waiverOct 18, 2026

National Provider Directory

National Provider Directory

Locations

3041 Charlevoix Dr SE
Grand Rapids, MI 49546
Phone (616) 552-7255

NPI Registry JSON

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1659913465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 CHARLEVOIX DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467035",
            "telephone_number": "616-942-7200",
            "fax_number": "616-942-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 CHARLEVOIX DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467035",
            "telephone_number": "616-942-7200",
            "fax_number": "616-942-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS CASCADE HS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "PILUT",
        "authorized_official_first_name": "MAZIE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERTIONS",
        "authorized_official_telephone_number": "616-942-7200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise of Cascade",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; 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.