Active NPI
Lifecircles
- PACE Provider Organization
- Muskegon, MI
National Provider Identifier
1710124045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- License
- H2936
- Legal business name
- LIFECIRCLES
- Practice address
- 560 Seminole Rd
Muskegon, MI 49444-3720 - Phone
- (231) 733-8686
- Fax
- (231) 733-8683
- NPI assigned
- Jan 8, 2009
- 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
- Mr. Robert Holmes Mills, M.S.W.
- Title
- Executive Director
- Phone
- (231) 733-8686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | H2936 | MI | Primary |
Addresses
Primary practice location
560 Seminole Rd
Muskegon, MI 49444-3720
Mailing address
560 Seminole Rd
Muskegon, MI 49444-3720
Phone (231) 733-8686
National Provider Directory
National Provider DirectoryLocations
560 Seminole Rd
Norton Shores, MI 49444
Phone (231) 733-8686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231372800000",
"number": "1710124045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 SEMINOLE RD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494443720",
"telephone_number": "231-733-8686",
"fax_number": "231-733-8683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 SEMINOLE RD",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494443720",
"telephone_number": "231-733-8686",
"fax_number": "231-733-8683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFECIRCLES",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-08",
"last_updated": "2009-01-08",
"status": "A",
"authorized_official_last_name": "MILLS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "HOLMES",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "231-733-8686",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.S.W."
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": "MI",
"license": "H2936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.