FOUNTAIN VIEW OF FREMONT (NPI# 1326376716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326376716 |
| Entity Type | Organization |
| Organization Name | FOUNTAIN VIEW OF FREMONT |
| Practice Address |
102 Hillcrest Ave Fremont MI 49412-1348 |
| Mailing Address |
3196 Kraft Ave Se Suite 200 Grand Rapids MI 49512-2078 |
| Practice Telephone | 2319245050 |
| Mailing Telephone | 6164641564 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |
| Authorized Official Name | KIM MILLER (ADMINISTRATOR) |
| Authorized Official Telephone | 2319245050 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | AL620007296 | MI | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CLIA | 23D0975403 | 01 |
| Street Address |
102 HILLCREST AVE |
| City | FREMONT |
| State | MI |
| Zip Code | 49412-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336451145 | Leisure Living Management of Fremont, Inc. | Clinical Medical Laboratory | 102 Hillcrest Ave, Fremont, MI 49412-1348 | 2010-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437632437 | Claire Marie J Derks | Massage Therapist | 119 North Stone Road, Fremont, MI 49412 | 2018-09-14 |
| 1730565946 | Retirement Living Management of Fremont, L.L.C. | Assisted Living Facility | 801 E. Main Street, Fremont, MI 49412 | 2015-08-11 |
| 1497136410 | James Yon | Social Worker | 3682 S Maple Island Rd, Fremont, MI 49412 | 2015-06-16 |
| 1871864090 | Cheryl Lee Kublin | Specialist | 4554 W. 48th St, Fremont, MI 49412 | 2012-01-19 |
| 1326319583 | Colleen M Rice | Occupational Therapist | 4554 W. 48th Street, Fremont, MI 49412 | 2012-01-19 |
| 1154578847 | Greenlund Enterprises, Inc | Hearing Aid Equipment | 28 Wet Sheridan Street, Fremont, MI 49412 | 2008-08-25 |
| 1225170699 | Raymond Prins IIi | Dentist | 855 N Darling, Fremont, MI 49412 | 2007-02-13 |
| 1508933789 | Charles Merle Erickson | Dentist | 16 W Sheridan, Fremont, MI 49412 | 2006-11-30 |
| 1588741300 | Christopher Callis Niquette | Dentist | 327 Apache Dr, Fremont, MI 49412 | 2006-11-01 |
| 1417041179 | Newaygo County Resa | Local Education Agency (LEA) | 4747 W. 48th Street, Fremont, MI 49412 | 2006-10-03 |
| Find all providers in zip 49412 | ||||
| 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 |
|---|---|---|---|---|
| 1477168656 | Lincoln Retirement Villa | Assisted Living Facility | 41040 Lincoln St, Fremont, CA 94538-4316 | 2020-09-14 |
| 1750945564 | Sl Fremont, LLC | Assisted Living Facility | 805 S Buchanan St, Fremont, OH 43420-4992 | 2019-04-26 |
| 1730565946 | Retirement Living Management of Fremont, L.L.C. | Assisted Living Facility | 801 E. Main Street, Fremont, MI 49412 | 2015-08-11 |
| 1841690930 | Shiloh Place LLC | Assisted Living Facility | 915 N H St, Fremont, NE 68025-4138 | 2014-08-26 |
| 1326450800 | Isabella Joe | Assisted Living Facility | 42745 Peachwood St, Fremont, CA 94538-4017 | 2014-06-02 |
| 1023438819 | Pathfinder Aid Opco LLC | Assisted Living Facility | 3010 N Clarkson St, Fremont, NE 68025-7709 | 2014-04-21 |
| 1437581154 | Nye Meadows Inc | Assisted Living Facility | 2230 N Somers Ave, Fremont, NE 68025-2515 | 2013-08-05 |
| 1508159591 | Shalimar Gardens Assisted Living | Assisted Living Facility | 749 E 29th St, Fremont, NE 68025-7711 | 2011-05-24 |
| 1164619482 | Assisted Living Concepts Inc | Assisted Living Facility | 3010 North Clarkson, Fremont, NE 68025 | 2007-10-01 |
| 1548457856 | Assisted Living Concepts Inc | Assisted Living Facility | 805 Buchanan Street, Fremont, OH 43420 | 2007-10-01 |
| Find all providers in FREMONT | ||||
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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.