GREEN ACRES LOWELL
NPI 1174951446
Custodial Care Facility in Lowell, MI

Active since October 24, 2013
11530 FULTON ST E, LOWELL, MI 49331(616) 987-9115(616) 987-9122 Get Directions Write a Review

NPPES record last updated: October 24, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Green Acres Lowell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREEN ACRES LOWELL (NPI 1174951446) is a healthcare organization registered as a custodial care facility in Lowell, Michigan and active in the NPI registry since October 2013. The organization lists Kelly Johnson, Administrator, as its authorized official.

NPPES Registry Identity

NPI1174951446
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameRETIREMENT LIVING MANAGEMENT OF LOWELL
Location Address11530 FULTON ST ELowell, MI 49331-9609
Mailing Address11530 Fulton St ELowell, MI 49331-9609 · (616) 987-9115 · Fax (616) 987-9122
Fax(616) 987-9122
Organization SubpartNo
Authorized OfficialKelly JohnsonAdministrator · (616) 987-9115
Enumeration DateOctober 24, 2013
NPI 1174951446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
License Licensed in MI · AL410311105
Definition

A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.

11530 FULTON ST E, Lowell, MI 49331

Other Names 1

Doing Business AsGreen Acres Lowell

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174951446, enumerated as an "organization" on October 24, 2013.

The provider is located at 11530 FULTON ST E LOWELL, MI 49331 and the phone number is (616) 987-9115.

Custodial Care Facility with taxonomy code 311Z00000X.