GRACE HAVEN ASSISTED LIVING NPI 1528395258

NPI Information

  • NPI: 1528395258
  • Provider Name: GRACE HAVEN ASSISTED LIVING
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 23D1102195
  • Address: 1507 GLASTONBURY DR
    SAINT JOHNS, MI
    ZIP 48879
  • Phone: (989) 224-1650

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NPI Details

GRACE HAVEN ASSISTED LIVING is an assisted living facility in Saint Johns, 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. GRACE HAVEN ASSISTED LIVING NPI is 1528395258. The provider is registered as an organization entity type.

The provider's business location address is:

1507 GLASTONBURY DR
SAINT JOHNS, MI
ZIP 48879-235
Phone: (989) 224-1650

The provider's authorized official is Cyndi Mcdonald .
The authorized official title is Administrator and has the following contact phone number (989) 224-1650.

The CLIA number assigned to this NPI record is 23D1102195 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/18/2009 and was last updated on 11/18/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityAL190294006MICHIGANNo
2310400000XAssisted Living FacilityAL190294037MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
123D1102195OTHERMICHIGANCLIA

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: 11/21/2025

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