Organization Active NPI

Leisure Living Management of Holland, Inc.

  • Assisted Living Facility
  • Holland, MI
National Provider Identifier
1982526992
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LEISURE LIVING MANAGEMENT OF HOLLAND, INC.
Practice address
340 W 40TH St
Holland, MI 49423-4600
Phone
(616) 394-0302
NPI assigned
Jul 29, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Stephen J Levy
Title
Agent for Owner
Phone
(312) 673-4387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

340 W 40TH St
Holland, MI 49423-4600

Mailing address

340 W 40TH St
Holland, MI 49423-4600
Phone (616) 394-0302

Other names 1

  • Addington Place of Lakeside Vista Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0975376Addington Place of Lakeside Vista340 W 40TH St, Holland, MI 49423Certificate of waiverJan 12, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1982526992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W 40TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234600",
            "telephone_number": "616-394-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W 40TH ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234600",
            "telephone_number": "616-394-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEISURE LIVING MANAGEMENT OF HOLLAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-29",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AGENT FOR OWNER",
        "authorized_official_telephone_number": "312-673-4387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addington Place of Lakeside Vista",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.