Fennville Al Operator LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

FENNVILLE AL OPERATOR LLC

Practice address

2464 55TH St
Fennville, MI 49408-8448

Phone

(269) 561-4663

NPI assigned

Aug 28, 2026

Last updated

Aug 28, 2026By 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

Jessica Velchansky

Title

Executive Operations Specialist

Phone

(616) 788-3469

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787875200000",
    "number": "1801704226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21800 HAGGERTY RD STE 115",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481679051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2464 55TH ST",
            "city": "FENNVILLE",
            "state": "MI",
            "postal_code": "494088448",
            "telephone_number": "269-561-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FENNVILLE AL OPERATOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A",
        "authorized_official_last_name": "VELCHANSKY",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "EXECUTIVE OPERATIONS SPECIALIST",
        "authorized_official_telephone_number": "616-788-3469"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darshan M Collins
• Elli Crandall, CF-SLP
• Katelin Elizabeth Dekker, NP
• Beth Durkee, LMSW
• Liza Edewaard, LLMSW
• Margaret Ginzel
• Crystal Hughes
• Dennis Anthony Icabone, DDS
• Karing Conversations
• Kaitlyn Kelly, LLMSW

• Assisted Living Facility in Fennville, MI
• Providers in Fennville, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.