Active NPI
Farmington Nursing, LLC
- Skilled Nursing Facility
- Farmington, MI
National Provider Identifier
1841533973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Farmington Health Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Farmington, MI
- NPI 1336194612
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.