Organization Active NPI

Farmington Nursing, LLC

  • Skilled Nursing Facility
  • Farmington, MI
National Provider Identifier
1841533973
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
FARMINGTON NURSING, LLC
Doing business as
White Pine Rehabilitation & Healthcare of Farmington
Practice address
34225 Grand River Ave
Farmington, MI 48335-3440
Phone
(248) 477-7373
Fax
(248) 477-2888
NPI assigned
Mar 27, 2013
Organization subpart
Yes
Parent organization
PVFS NURSING PARENT, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Bretton Bolt
Title
Ceo/Manager
Phone
(301) 991-1388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

34225 Grand River Ave
Farmington, MI 48335-3440

Mailing address

25 Ionia Ave SW Ste 506
White Pine Management, LLC C/O Big Bay Ventures, LLC
Grand Rapids, MI 49503-4179
Phone (301) 991-1388

Other names 1

  • White Pine Rehabilitation & Healthcare of Farmington Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Farmington Health Care Center2 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.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1841533973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 IONIA AVE SW STE 506",
            "address_2": "WHITE PINE MANAGEMENT, LLC C/O BIG BAY VENTURES, LLC",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034179",
            "telephone_number": "301-991-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34225 GRAND RIVER AVE",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483353440",
            "telephone_number": "248-477-7373",
            "fax_number": "248-477-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON NURSING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PVFS NURSING PARENT, LLC",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "BOLT",
        "authorized_official_first_name": "BRETTON",
        "authorized_official_title_or_position": "CEO/MANAGER",
        "authorized_official_telephone_number": "301-991-1388"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White Pine Rehabilitation & Healthcare of Farmington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.