FOUNTAIN VIEW OF LOWELL NPI 1346577046

NPI Information

NPI: 1346577046
Provider Name: FOUNTAIN VIEW OF LOWELL
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 23D0964697

Address:
11535 FULTON ST E
LOWELL, MI
ZIP 49331
Phone: (616) 897-8413
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FOUNTAIN VIEW OF LOWELL is an assisted living facility in Lowell, 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 LOWELL NPI is 1346577046. The provider is registered as an organization entity type.

The provider's business location address is:

11535 FULTON ST E
LOWELL, MI
ZIP 49331-609
Phone: (616) 897-8413

The provider's authorized official is Rose Hollinshead .
The authorized official title is Administrator and has the following contact phone number (616) 897-8413.

The CLIA number assigned to this NPI record is 23D0964697 - 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 11/17/2009.

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
1	310400000X	Assisted Living Facility		AL410007112	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	23D0964697	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: 5/5/2024

NPI Synchronization or Removal

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