Active NPI
Pine Way Group
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Kalamazoo, MI
National Provider Identifier
1720759046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Legal business name
- PINE WAY GROUP
- Doing business as
- The Pine Way Group
- Practice address
- 1276 Jack Pine Dr
Kalamazoo, MI 49006-5499 - Phone
- (616) 214-9142
- NPI assigned
- Sep 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark Frank
- Title
- Owner
- Phone
- (616) 214-9142
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Primary |
Addresses
Primary practice location
1276 Jack Pine Dr
Kalamazoo, MI 49006-5499
Mailing address
7667 Crooked Cove St
Kalamazoo, MI 49009-4073
Phone (616) 214-9142
Other names 1
- The Pine Way Group
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Kalamazoo, MI
- NPI 1386688430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632700800000",
"number": "1720759046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7667 CROOKED COVE ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490094073",
"telephone_number": "616-214-9142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 JACK PINE DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490065499",
"telephone_number": "616-214-9142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINE WAY GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-27",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A",
"authorized_official_last_name": "FRANK",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-214-9142",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Pine Way Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.