Golden Life Afc LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

GOLDEN LIFE AFC LLC

Practice address

10710 Roy Dr
Greenville, MI 48838-9105

Phone

(616) 225-2231

NPI assigned

Aug 21, 2019

Last updated

Aug 21, 2019By 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

Mr. Mike John Dykstra

Title

Executive Director

Phone

(616) 307-7719

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566345600000",
    "number": "1700433042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4364 LITTLE CREEK CT",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493197918",
            "telephone_number": "616-307-7719",
            "fax_number": "616-619-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 ROY DR",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488389105",
            "telephone_number": "616-225-2231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 W Montcalm St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "MI",
            "postal_code": "488381749",
            "country_code": "US",
            "telephone_number": "616-232-2584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8675 S Grow Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "MI",
            "postal_code": "488389751",
            "country_code": "US",
            "telephone_number": "616-232-8087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDEN LIFE AFC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A",
        "authorized_official_last_name": "DYKSTRA",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-307-7719",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mike@goldenlifeafc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "503 W Montcalm St",
            "city": "Greenville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488381749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Assisted Living Facility (Mental Illness) in Greenville, MI
• Providers in Greenville, MI by specialty
• Assisted Living Facility (Mental Illness) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.