Organization Active NPI

Jade Haven LLC

  • Surgical Physician Assistant
  • Byron Center, MI
National Provider Identifier
1669318093
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Legal business name
JADE HAVEN LLC
Practice address
7912 Whistle Creek CT. SW
Byron Center, MI 49315-9185
Phone
(616) 212-0081
NPI assigned
Apr 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Ms. Christina Wang, PA-C
Title
Physician Assistant/Managing Member
Phone
(616) 212-0081

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AS0400X Primary

Addresses

Primary practice location

7912 Whistle Creek CT. SW
Byron Center, MI 49315-9185

Mailing address

7912 Whistle Creek CT. SW
Byron Center, MI 49315-9185
Phone (616) 212-0081

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1669318093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7912 WHISTLE CREEK CT. SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159185",
            "telephone_number": "616-212-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7912 WHISTLE CREEK CT. SW",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493159185",
            "telephone_number": "616-212-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT/MANAGING MEMBER",
        "authorized_official_telephone_number": "616-212-0081",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron Center, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.