Fountain View Retirement

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

FOUNTAIN VIEW RETIREMENT

Practice address

102 Hillcrest Dr
Fremont, MI 49412-1348

Phone

(231) 924-5050

Fax

(231) 924-6445

NPI assigned

Aug 28, 2006

Last updated

Aug 22, 2020By 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

Mrs. Diane Marie Graff, L.P.N.

Title

Administrator/Nurse

Phone

(231) 924-5050

Specialties & licenses 1

Addresses

Tax ID family

Fountain View of Fremont2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fountain View of Fremont

  • Assisted Living Facility
  • Fremont, MI
  • NPI 1326376716
  NPD tax ID

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720196819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HILLCREST DR",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121348",
            "telephone_number": "231-924-5050",
            "fax_number": "231-924-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HILLCREST DR",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121348",
            "telephone_number": "231-924-5050",
            "fax_number": "231-924-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN VIEW RETIREMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAFF",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR/NURSE",
        "authorized_official_telephone_number": "231-924-5050",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.P.N."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family & Life Counseling
• Gerald Lee Fedelem, D.D.S.
• Jeanne Louise Feikema, R.PH.
• Megan Marie Folkema
• Fountain View of Fremont
• Fremont Healthcare LLC (Regency at Fremont)
• Fremont Orthopaedics PLLC
• Fremont Shoe Repair Tru Fit Pedorthics
• Nicolas Furlich
• Ryan Thomas Gailey

• Clinical Medical Laboratory in Fremont, MI
• Providers in Fremont, MI by specialty
• Clinical Medical Laboratory in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.