AHSL KENTWOOD OPERATIONS, LLC (NPI# 1386048080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386048080 |
| Entity Type | Organization |
| Organization Name | AHSL KENTWOOD OPERATIONS, LLC |
| Practice Address |
5980 Eastern Ave Se Kentwood MI 49508-6215 |
| Mailing Address |
6755 Telegraph Rd Ste 330 Bloomfield Hills MI 48301-3182 |
| Practice Telephone | 6164557087 |
| Mailing Telephone | 2482031800 |
| Mailing Fax Number | 2482032929 |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |
| Authorized Official Name | ROBERT GILLETTE (CHIEF OPERATING OFFICE) |
| Authorized Official Telephone | 2482031800 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | AL 410365134 | MH | Nursing & Custodial Care Facilities |
| N | 311500000X | Alzheimer Center (Dementia Center) | AL 410364896 | MI | Nursing & Custodial Care Facilities |
| Y | 310400000X | Assisted Living Facility | AL 410365140 | MI | Nursing & Custodial Care Facilities |
| Street Address |
5980 EASTERN AVE SE |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49508-6215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
| 1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
| 1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
| 1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
| 1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
| 1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
| 1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
| 1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
| 1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
| 1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
| Find all providers in zip 49508 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417233198 | Kentwood Operations, LLC | Assisted Living Facility | 4352 Breton Rd Se, Kentwood, MI 49512-9112 | 2011-10-26 |
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| 1215544739 | Baruch Sls, Inc. | Assisted Living Facility | 3100 Wyndham Dr, Flushing, MI 48433-2290 | 2020-09-29 |
| 1730796558 | Baruch Sls, Inc. | Assisted Living Facility | 130 Mary Ann St, Grayling, MI 49738-7037 | 2020-09-25 |
| 1649887472 | Baruch Sls, Inc. | Assisted Living Facility | 300 S Grand Ave, Leland, MI 49654-5052 | 2020-09-25 |
| 1013524834 | Baruch Sls, Inc. | Assisted Living Facility | 2801 Charlevoix Rd, Petoskey, MI 49770-9727 | 2020-09-25 |
| 1346857174 | Baruch Sls, Inc. | Assisted Living Facility | 1311 Southwestern Dr, Tecumseh, MI 49286-1233 | 2020-09-25 |
| 1427665439 | Baruch Sls, Inc. | Assisted Living Facility | 301 N Quick St, Blissfield, MI 49228-1051 | 2020-09-24 |
| 1295341956 | Comfort Home of Bloomfield Inc | Assisted Living Facility | 6372 Tutbury Ln, Troy, MI 48098-2151 | 2020-09-18 |
| 1306451679 | Traditions At Rivertown Park, LLC | Assisted Living Facility | 3555 Copper River Ave Sw, Wyoming, MI 49418-9791 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.