Organization Active NPI

Meadow Lane Assisted Living

  • Assisted Living Facility
  • Bad Axe, MI
National Provider Identifier
1982931614
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AH320297377 Issued in MI
Legal business name
MEADOW LANE ASSISTED LIVING
Practice address
150 Meadow LN
Bad Axe, MI 48413-9634
Phone
(989) 269-8890
NPI assigned
Nov 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Authorized official

Name
Peggy Motley
Title
Administrator
Phone
(989) 269-8890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AH320297377 MI Primary

Addresses

Primary practice location

150 Meadow LN
Bad Axe, MI 48413-9634

Mailing address

3196 Kraft Ave SE
Suite 200
Grand Rapids, MI 49512-2078
Phone (616) 464-1564

Other identifiers 1

IdentifierTypeStateIssuer
23D1102198OtherMICLIA

National Provider Directory

National Provider Directory
Tax ID family
Meadow Lane Assisted Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1982931614",
    "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": "150 MEADOW LN",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484139634",
            "telephone_number": "989-269-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW LANE ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "MOTLEY",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "989-269-8890"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AH320297377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "23D1102198",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bad Axe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.