NPIMap

Organization Active NPI

Sanford West LLC

Doing business as Sanford West Behavioral Health Services ED

  • Psychiatric Residential Treatment Facility
  • Marne, MI
National Provider Identifier
1679248496
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
SANFORD WEST LLC
Doing business as
Sanford West Behavioral Health Services ED
Practice address
15146 16TH Ave
Marne, MI 49435-9605
Phone
(616) 288-6970
NPI assigned
Aug 13, 2021
Last updated
Nov 2, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SANFORD WEST LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Stephanie Robinson Talbert
Title
Credentialing & Contracting Manage
Phone
(616) 520-9074

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

15146 16TH Ave
Marne, MI 49435-9605

Mailing address

15146 16TH Ave
Marne, MI 49435-9605
Phone (616) 288-6970

Other names 1

  • Sanford West Behavioral Health Services ED Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sanford West LLC3 organizations share this tax ID, including this one
Part of
Sanford West LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

  • Sanford Psych Services LLC

    dba Sanford West Psych Services

    • Psychiatric Residential Treatment Facility
    • Marne, MI
    • NPI 1255060539
    NPD tax ID
  • Sanford West LLC

    dba Sanford Veterans and First Responders Substance Use Disorder Program

    • Substance Abuse Rehabilitation Facility
    • Grand Rapids, MI
    • NPI 1326973678
    NPD tax ID

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1679248496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15146 16TH AVE",
            "city": "MARNE",
            "state": "MI",
            "postal_code": "494359605",
            "telephone_number": "616-288-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15146 16TH AVE",
            "city": "MARNE",
            "state": "MI",
            "postal_code": "494359605",
            "telephone_number": "616-288-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANFORD WEST LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANFORD WEST LLC",
        "enumeration_date": "2021-08-13",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "ROBINSON TALBERT",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CREDENTIALING & CONTRACTING MANAGE",
        "authorized_official_telephone_number": "616-520-9074"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sanford West Behavioral Health Services ED",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sanford West Behavioral Health Services ED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marne, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.