Stone Ridge Afc

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

STONE RIDGE AFC

Practice address

4825 Fruin Rd
Bellevue, MI 49021-8209

Phone

(269) 758-3388

Fax

(269) 758-3488

NPI assigned

Jul 10, 2019

Last updated

Jul 10, 2019By 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

William Sowle

Title

Owner/Admin

Phone

(616) 335-4865

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562716800000",
    "number": "1720630734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 FRUIN RD",
            "city": "BELLEVUE",
            "state": "MI",
            "postal_code": "490218209",
            "telephone_number": "269-758-3388",
            "fax_number": "269-758-3488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 FRUIN RD",
            "city": "BELLEVUE",
            "state": "MI",
            "postal_code": "490218209",
            "telephone_number": "269-758-3388",
            "fax_number": "269-758-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE RIDGE AFC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2019-07-10",
        "status": "A",
        "authorized_official_last_name": "SOWLE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "616-335-4865"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alzheimer Center (Dementia Center) in Bellevue, MI
• Providers in Bellevue, MI by specialty
• Alzheimer Center (Dementia Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.