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FOUNTAIN VIEW OF FREMONT NPI 1326376716


NPI Information

NPI: 1326376716
Provider Name: FOUNTAIN VIEW OF FREMONT
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
102 HILLCREST AVE
FREMONT, MI
ZIP 49412
Phone: (231) 924-5050
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FOUNTAIN VIEW OF FREMONT is an assisted living facility in Fremont, 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. FOUNTAIN VIEW OF FREMONT NPI is 1326376716. The provider is registered as an organization entity type.

The provider's business location address is:

102 HILLCREST AVE
FREMONT, MI
ZIP 49412-348
Phone: (231) 924-5050

The provider's authorized official is Kim Miller .
The authorized official title is Administrator and has the following contact phone number (231) 924-5050.

The enumeration date for this NPI number is 11/24/2009 and was last updated on 11/24/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living FacilityAL620007296MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
123D0975403OTHERMICHIGANCLIA

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: 4/28/2024

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