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RETIREMENT LIVING MANAGEMENT OF STANDALE L.L.C NPI 1508262676


NPI Information

NPI: 1508262676
Provider Name: RETIREMENT LIVING MANAGEMENT OF STANDALE L.L.C

Doing Business As: GREEN ACRES OF STANDALE

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 23D2216334

Address:
1845 BIRMINGHAM
LOWELL, MI
ZIP 49331
Phone: (616) 431-3021
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RETIREMENT LIVING MANAGEMENT OF STANDALE L.L.C is an assisted living facility in Lowell, MI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. RETIREMENT LIVING MANAGEMENT OF STANDALE L.L.C NPI is 1508262676. The provider is registered as an organization entity type.
The provider Is Doing Business As Green Acres Of Standale.

The provider's business location address is:

1845 BIRMINGHAM
LOWELL, MI
ZIP 49331-664
Phone: (616) 431-3021
Fax: (616) 431-3022

The provider's authorized official is Kristen Nitz .
The authorized official title is Administrator and has the following contact phone number (616) 431-3021.

The CLIA number assigned to this NPI record is 23D2216334 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2014 and was last updated on 11/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAL700355094MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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