WOODLAWN MEADOWS RETIREMENT VILLAGE (NPI# 1508194986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508194986 |
Entity Type | Organization |
Organization Name | WOODLAWN MEADOWS RETIREMENT VILLAGE |
Practice Address |
1821 N East St Hastings MI 49058-1367 |
Mailing Address |
3196 Kraft Ave Se Suite 200 Grand Rapids MI 49512-2078 |
Practice Telephone | 2699484921 |
Mailing Telephone | 6164641564 |
Enumeration Date | 2009-11-24 |
Last Update Date | 2009-11-24 |
Authorized Official Name | SHANNON VANHOUTEN (ADMINISTRATOR) |
Authorized Official Telephone | 2699484921 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 310400000X | Assisted Living Facility | AL080242121 | MI | Nursing & Custodial Care Facilities |
Y | 310400000X | Assisted Living Facility | AL080242139 | MI | Nursing & Custodial Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | CLIA | 23D1046098 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265646095 | Woodlawn Meadows Retirement Village | Clinical Medical Laboratory | 1821 N East St, Hastings, MI 49058-1367 | 2007-05-10 |
Street Address |
1821 N EAST ST |
City | HASTINGS |
State | MI |
Zip Code | 49058-1367 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265646095 | Woodlawn Meadows Retirement Village | Clinical Medical Laboratory | 1821 N East St, Hastings, MI 49058-1367 | 2007-05-10 |
1639487754 | Woodlawn Meadows Retirement Village, LLC | Clinical Medical Laboratory | 1821 N East St, Hastings, MI 49058-1367 | 2010-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760941942 | Valerie Joy Gardiner | Licensed Practical Nurse | 1359 Avon St, Hastings, MI 49058 | 2019-03-18 |
1538528633 | Forefront Dermatology, S.c. | Dermatology | 1761 W M 43 Hwy Ste 2, Hastings, MI 49058 | 2016-02-17 |
1376936807 | Angels On The Go | Home Health | 959 1/2 Williams Dr., Hastings, MI 49058 | 2015-03-09 |
1134524226 | Forefront Dermatology, S.c. | Dermatology | 1005 W. Green Street, Suite 200, Hastings, MI 49058 | 2014-10-31 |
1417385493 | James Edgar Atkinson | Family Medicine | 2425 Kathryn Drive, Hastings, MI 49058 | 2013-10-29 |
1689006918 | Bosley Pharmacy No. 2 Inc | Pharmacy | 118 S. Jefferson St., Hastings, MI 49058 | 2013-08-09 |
1740539345 | Kristen Burpee | Physical Therapist | 535 W. Woodlawn, Hastings, MI 49058 | 2012-08-29 |
1932344819 | Timothy York Adams | Counselor | 1100 Willitts Rd, Hastings, MI 49058 | 2008-12-08 |
1689820169 | Jennifer L Nobert | Physician Assistant | 1005 W Green St Ste 202, Hastings Internal Medicine, Hastings, MI 49058 | 2008-08-15 |
1457578072 | Sue Ellen Eastman | Social Worker | 350 Meadow Run Drive, #3, Hastings, MI 49058 | 2007-04-18 |
Find all providers in zip 49058 |
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 |
---|---|---|---|---|
1992040695 | Augustana Apartments of Hastings | Assisted Living Facility | 901 16th St W, Hastings, MN 55033-3355 | 2012-12-06 |
1659664159 | College View Assisted Living and Memory Support Community LLC | Assisted Living Facility | 1100 N 6th Ave, Hastings, NE 68901-4106 | 2011-05-17 |
1467743021 | The Kensington Hastings LLC | Assisted Living Facility | 233 N Hastings Ave, Hastings, NE 68901-5168 | 2011-04-29 |
1427186519 | Ruth Homes | Assisted Living Facility | 1306 Lincoln Ln, Hastings, MN 55033-1068 | 2007-03-01 |
1790827764 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 926 East 'e' St, Hastings, NE 68901 | 2007-02-13 |
1083045124 | Regina Senior Living | Assisted Living Facility | 1175 Nininger Rd, Hastings, MN 55033-1056 | 2013-11-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518567890 | Mcap Holt Opco LLC | Assisted Living Facility | 4300 Keller Rd, Holt, MI 48842-1268 | 2020-10-27 |
1457959363 | Baruch Sls, Inc. | Assisted Living Facility | 3191 M 65, Hale, MI 48739-8512 | 2020-10-13 |
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 |
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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.