Merle Dorcelle Haines

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AM410272020 Issued in MI

Practice address

5721 Christie Ave SE
Kentwood, MI 49508-6236

Phone

(616) 827-1377

NPI assigned

Feb 19, 2018

Last updated

Feb 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1801396650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 CHRISTIE AVE SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086236",
            "telephone_number": "616-827-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 CHRISTIE AVE SE",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495086236",
            "telephone_number": "616-827-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "MERLE",
        "middle_name": "DORCELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AM410272020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Gundersen, LLC
• Joel David Gustafson
• Antonia Guy
• Cassidy Haase, CCC-SLP
• Kevin Scott Hahn, DDS
• Charli Elizabeth Hale
• Victoria Hall
• Arianna Nevaeh Hallengren
• Katherine Halma, LMFT
• Robin Hancock

• Adult Care Home Facility in Kentwood, MI
• Providers in Kentwood, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.