CARING MEADOWS LIVING CENTER INC (NPI# 1285161257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285161257 |
| Entity Type | Organization |
| Organization Name | CARING MEADOWS LIVING CENTER INC |
| Other Organization Name | VI'S GARDEN AFC |
| Practice Address |
1171 Lafayette Ave Se Grand Rapids MI 49507-1108 |
| Mailing Address |
1001 Lafayette Ave Se Grand Rapids MI 49507-1106 |
| Practice Telephone | 6166338284 |
| Mailing Telephone | 6166338284 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2017-05-22 |
| Authorized Official Name | MARVA LYNN TOWNSEND (LICENSEE) |
| Authorized Official Telephone | 6166338284 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AS410309723 | MI | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| VI'S GARDEN AFC | Former Legal Business Name - Organization |
| Street Address |
1171 LAFAYETTE AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49507-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487156956 | Kristen Zvirbulis Keeter | Physical Therapist | 625 Kenmoor Ave. Se Ste 306, Grand Rapids, MI 49507 | 2018-03-01 |
| 1508371758 | Vanessa Woodard | Case Manager/Care Coordinator | 1939 S. Division Ave., Grand Rapids, MI 49507 | 2017-12-11 |
| 1306350624 | Courtney Nicole Porter | Social Worker | 1979 S Division Ave., Grand Rapids, MI 49507 | 2017-11-22 |
| 1518496900 | 733 Prince LLC | Custodial Care Facility | 733 Prince St Se, Grand Rapids, MI 49507 | 2017-06-08 |
| 1720515406 | Tiffanie Ryder | Massage Therapist | 1110 Merrified St, Grand Rapids, MI 49507 | 2017-05-12 |
| 1619404308 | Shedrice's Afc | Respite Care | 246 Powell Se Ave, Grand Rapids, MI 49507 | 2017-05-12 |
| 1992171748 | Richard Lavell Flowers | Non-emergency Medical Transport (VAN) | 1447 Elliott, Grand Rapids, MI 49507 | 2015-08-17 |
| 1982096087 | Jordana Seebeck | Social Worker | 1939 S. Division Se, Grand Rapids, MI 49507 | 2015-02-26 |
| 1083973135 | Carla May Waite | Social Worker | 1939 South Division, Grand Rapids, MI 49507 | 2012-05-10 |
| 1740550037 | Jamie Lee Dalton | Social Worker | 2017 College Ave Se, Grand Rapids, MI 49507 | 2012-01-04 |
| Find all providers in zip 49507 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851893176 | Mike's Way Inc | Custodial Care Facility | 1552 Robinson Rd Se, Grand Rapids, MI 49506-1748 | 2018-03-02 |
| 1336655034 | Michael D Wagner | Custodial Care Facility | 807 Pine Ave Nw, Grand Rapids, MI 49504-4340 | 2017-12-18 |
| 1518496900 | 733 Prince LLC | Custodial Care Facility | 733 Prince St Se, Grand Rapids, MI 49507 | 2017-06-08 |
| 1689102931 | Jerry's Dream Adult Homes | Custodial Care Facility | 1124 W Leonard Ct Nw, Grand Rapids, MI 49534-6835 | 2017-05-31 |
| 1801324538 | Tenagne Mengistu | Custodial Care Facility | 604 Jefferson Ave Se, Grand Rapids, MI 49503-5218 | 2017-05-25 |
| 1649708488 | Extended Care At Ramsdell | Custodial Care Facility | 3109 Lawton Dr Ne, Grand Rapids, MI 49525-2916 | 2017-05-24 |
| 1700314564 | Covenant Enabling Residences of Michigan | Custodial Care Facility | 340 Thornridge Ct Nw, Grand Rapids, MI 49504-5887 | 2017-05-24 |
| 1548796576 | Nathan Bieszka | Custodial Care Facility | 3671 Senora Ave Se, Grand Rapids, MI 49508-5501 | 2017-05-11 |
| 1306372396 | Holton Management, LLC | Custodial Care Facility | 2101 Francis Ave Se, Grand Rapids, MI 49507-3016 | 2017-05-11 |
| 1447781984 | Cynthia Bushnell | Custodial Care Facility | 2845 Leonard St Ne, Grand Rapids, MI 49525-5826 | 2017-03-26 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49507 |
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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.