Grandhaven Living Center

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL330237775 Issued in MI

Legal business name

GRANDHAVEN LIVING CENTER

Practice address

3145 W Mount Hope Ave
Lansing, MI 48911-1665

Phone

(517) 485-5966

NPI assigned

Nov 17, 2009

Organization subpart

No

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

Authorized official

Name

Samantha Thelen

Title

Administrator

Phone

(517) 485-5966

Specialties & licenses 4

Addresses

Other identifiers 1

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1881921575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 KRAFT AVE SE",
            "address_2": "SUITE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495122078",
            "telephone_number": "616-464-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 W MOUNT HOPE AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489111665",
            "telephone_number": "517-485-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDHAVEN LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "THELEN",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "517-485-5966"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL330237775",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL330237781",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL330267336",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AL330268975",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D1102203",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Graft
• Andrea Graham
• Benjamin Andrew Graham, P.T.
• Bill Graham
• Mary Graham
• Grandhaven Living Center, LLC (Grandhaven Living Center - Laboratory)
• Rebecca Lynn Granet, BA, DP-C
• Mariah Lee Grange, AU.D.
• Brianna Lynn Granlund, D.O.
• Cheris Grasse, MPT

• Assisted Living Facility in Lansing, MI
• Providers in Lansing, 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 Mar 6, 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.