Active NPI
Pine Lake Fund
- Case Management Agency
- Plainwell, MI
National Provider Identifier
1669389524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- PINE LAKE FUND
- Practice address
- 11825 Pine Lake Rd
Plainwell, MI 49080-9218 - Phone
- (269) 598-0636
- NPI assigned
- Aug 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tiffany Betty White, PHD
- Title
- Executive Director
- Phone
- (269) 598-0636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
11825 Pine Lake Rd
Plainwell, MI 49080-9218
Mailing address
11825 Pine Lake Rd
Plainwell, MI 49080-9218
Phone (269) 598-0636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787702400000",
"number": "1669389524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11825 PINE LAKE RD",
"city": "PLAINWELL",
"state": "MI",
"postal_code": "490809218",
"telephone_number": "269-598-0636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11825 PINE LAKE RD",
"city": "PLAINWELL",
"state": "MI",
"postal_code": "490809218",
"telephone_number": "269-598-0636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINE LAKE FUND",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-26",
"last_updated": "2026-08-26",
"certification_date": "2026-08-26",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "TIFFANY",
"authorized_official_middle_name": "BETTY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "269-598-0636",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainwell, 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.