Organization Active NPI

Lifecircles

  • PACE Provider Organization
  • Muskegon, MI
National Provider Identifier
1710124045
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
License
H2936 Issued in MI
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

Updated by the provider on Jan 8, 2009

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.