Retirement Living Management of Fruitport

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL610288875 Issued in MI

Legal business name

RETIREMENT LIVING MANAGEMENT OF FRUITPORT

Doing business as

Chestnut Fields

Practice address

5425 Chestnut Dr
Muskegon, MI 49444-7873

Phone

(231) 798-2220

Fax

(231) 798-2229

NPI assigned

Nov 1, 2013

Last updated

Nov 1, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Wernstrom

Title

Administrator

Phone

(231) 798-2220

Specialties & licenses 1

Addresses

Other names 1

• Chestnut Fields Doing business as

Locations

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1699104513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 CHESTNUT DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494447873",
            "telephone_number": "231-798-2220",
            "fax_number": "231-798-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 CHESTNUT DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494447873",
            "telephone_number": "231-798-2220",
            "fax_number": "231-798-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETIREMENT LIVING MANAGEMENT OF FRUITPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "WERNSTROM",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "231-798-2220"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL610288875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chestnut Fields",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Scott Renton, D.O.
• Emily Rentschler
• Gerald Scott Reschke, BS PHARMACY
• Julianne Resnick, RN
• Abena Retemiah, RDN
• Crystal Rewa
• Juan Reyes III, PHARMACIST
• Melissa Kay Reyes, CHW
• Laura Jean Reynolds, LMSW
• Tracie J Reynolds, MS, PA-C

• Assisted Living Facility in Muskegon, MI
• Providers in Muskegon, 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 Nov 1, 2013; 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.