Organization Active NPI

Disability Network/ Lakeshore

  • Community/Behavioral Health Agency
  • Holland, MI
National Provider Identifier
1710350228
Registry record updated Nov 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6801095023 Issued in MI
Legal business name
DISABILITY NETWORK/ LAKESHORE
Practice address
426 Century LN
Holland, MI 49423-2200
Phone
(616) 396-5326
NPI assigned
Nov 5, 2015
Last updated
Nov 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2015

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

Authorized official

Name
Mr. Todd Whiteman
Title
Executive Director
Phone
(616) 396-5326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6801095023 MI Primary

Addresses

Primary practice location

426 Century LN
Holland, MI 49423-2200

Mailing address

426 Century LN
Holland, MI 49423-2200
Phone (616) 396-5326

National Provider Directory

National Provider Directory

Locations

426 Century Ln
Holland, MI 49423
Phone (616) 396-5326

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446681600000",
    "number": "1710350228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 CENTURY LN",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232200",
            "telephone_number": "616-396-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 CENTURY LN",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494232200",
            "telephone_number": "616-396-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISABILITY NETWORK/ LAKESHORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-05",
        "last_updated": "2015-11-05",
        "status": "A",
        "authorized_official_last_name": "WHITEMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-396-5326",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6801095023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.