LG'S Whispering Pines

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AF140093677 Issued in MI

Legal business name

LG'S WHISPERING PINES

Practice address

69350 Christiana Creek Dr
Edwardsburg, MI 49112-8731

Phone

(269) 699-7482

Fax

(269) 699-8117

NPI assigned

Jan 7, 2015

Organization subpart

No

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

Authorized official

Name

Gabriele B Jamison

Title

Owner

Phone

(269) 699-7482

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1851789234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69350 CHRISTIANA CREEK DR",
            "city": "EDWARDSBURG",
            "state": "MI",
            "postal_code": "491128731",
            "telephone_number": "269-699-7482",
            "fax_number": "269-699-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69350 CHRISTIANA CREEK DR",
            "city": "EDWARDSBURG",
            "state": "MI",
            "postal_code": "491128731",
            "telephone_number": "269-699-7482",
            "fax_number": "269-699-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LG'S WHISPERING PINES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "GABRIELE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-699-7482"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AF140093677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara D Holy, RDN, LD
• Joshua Rodgers Jones, D.C.
• Garrett Kendall, CPT
• Amy Kniffin
• Jennifer Lynn Lambart, O.D.
• Lindsey Danielle Lira, M.D.
• Drew Allen Mikel
• Britney J Monaco
• Daniela Arlette Moreno, CCC-SLP
• Alexander Moskalow

• Adult Care Home Facility in Edwardsburg, MI
• Providers in Edwardsburg, 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 Jan 7, 2015; 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.