NPIMap

Organization Active NPI

Verde Valley LLC

  • Assisted Living Facility
  • Flushing, MI
National Provider Identifier
1710257969
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AS2503047 Issued in MI
Legal business name
VERDE VALLEY LLC
Practice address
8163 Coldwater Rd
Flushing, MI 48433-1121
Phone
(810) 659-6097
Fax
(810) 659-6120
NPI assigned
Jan 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Dr. Daniel A Duffy, DO
Title
Administrator
Phone
(810) 659-6097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AS2503047 MI Primary

Addresses

Primary practice location

8163 Coldwater Rd
Flushing, MI 48433-1121

Mailing address

8163 Coldwater Rd
Flushing, MI 48433-1121
Phone (810) 659-6097

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1710257969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8163 COLDWATER RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484331121",
            "telephone_number": "810-659-6097",
            "fax_number": "810-659-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8163 COLDWATER RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484331121",
            "telephone_number": "810-659-6097",
            "fax_number": "810-659-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDE VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "810-659-6097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AS2503047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.