Pine Ridge Bible Camp & Conference Center, Inc.

Primary specialty

Respite Care CampTaxonomy code 385HR2050X

License

SR410200106 Issued in MI

Legal business name

PINE RIDGE BIBLE CAMP & CONFERENCE CENTER, INC.

Practice address

8415 17 Mile Rd NE
Cedar Springs, MI 49319-9220

Phone

(616) 696-8675

NPI assigned

May 11, 2017

Organization subpart

No

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

Authorized official

Name

Kevin Grifhorst

Title

Executive Director

Phone

(616) 696-8675

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1942736095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 17 MILE RD NE",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493199220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 17 MILE RD NE",
            "city": "CEDAR SPRINGS",
            "state": "MI",
            "postal_code": "493199220",
            "telephone_number": "616-696-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE RIDGE BIBLE CAMP & CONFERENCE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "GRIFHORST",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-696-8675"
    },
    "taxonomies": [
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": "MI",
            "license": "SR410200106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Respite Care in Cedar Springs, MI
• Providers in Cedar Springs, MI by specialty
• Respite Care in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.