GRANDHAVEN LIVING CENTER NPI 1881921575

NPI Information

NPI: 1881921575
Provider Name: GRANDHAVEN LIVING CENTER
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 23D2079087

Address:
3145 W MOUNT HOPE AVE
LANSING, MI
ZIP 48911
Phone: (517) 485-5966
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GRANDHAVEN LIVING CENTER is an assisted living facility in Lansing, 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. GRANDHAVEN LIVING CENTER NPI is 1881921575. The provider is registered as an organization entity type.

The provider's business location address is:

3145 W MOUNT HOPE AVE
LANSING, MI
ZIP 48911-665
Phone: (517) 485-5966

The provider's authorized official is Samantha Thelen .
The authorized official title is Administrator and has the following contact phone number (517) 485-5966.

The CLIA number assigned to this NPI record is 23D2079087 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2009 and was last updated on 3/6/2015.

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	License Number	License State	Primary
1	310400000X	Assisted Living Facility	AL330237781	MICHIGAN	No
2	310400000X	Assisted Living Facility	AL330267336	MICHIGAN	No
3	310400000X	Assisted Living Facility	AL330268975	MICHIGAN	No
4	310400000X	Assisted Living Facility	AL330237775	MICHIGAN	Yes

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
1	23D1102203	OTHER	MICHIGAN	CLIA

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: 11/14/2023

NPI Synchronization or Removal

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