Meadowlark Retirement Village

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

AL410085015 Issued in MI

Legal business name

MEADOWLARK RETIREMENT VILLAGE

Practice address

65 Ida Red Ave
Sparta, MI 49345-1735

Phone

(616) 887-8891

Fax

(616) 887-1795

NPI assigned

Jan 3, 2014

Last updated

Jan 3, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

PORTER HILLS RETIREMENT COMMUNITIES AND SERVICESAs reported in NPPES

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

Authorized official

Name

Ms. Ingrid Weaver

Title

Vice President of Operations

Phone

(616) 949-4975

Specialties & licenses 1

Addresses

Other names 1

• Porter Hills Retirement Communities and Services Other name

Part of

Meadowlark Retirement Village

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1891116182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 CASCADE RD SE",
            "address_2": "SUITE 200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468330",
            "telephone_number": "616-949-4975",
            "fax_number": "616-954-1795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 IDA RED AVE",
            "city": "SPARTA",
            "state": "MI",
            "postal_code": "493451735",
            "telephone_number": "616-887-8891",
            "fax_number": "616-887-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWLARK RETIREMENT VILLAGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PORTER HILLS RETIREMENT COMMUNITIES AND SERVICES",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "616-949-4975",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "AL410085015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Porter Hills Retirement Communities and Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jillian Marie McCarthy, LMSW
• Charles Lee McFall, DDS
• Margot McGlothlin, PHARMD
• Heather J. McGovern, M.D.
• Adam McMillan, MD
• Amanda Mekkes, LMT
• Mercy Health Partners
• Mercy Health Partners
• Michigan Medical Patient Care
• Tania Ann Miiller, RPH

• Home Health Agency in Sparta, MI
• Providers in Sparta, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.