FOUNTAIN VIEW OF FREMONT
NPI 1326376716
Assisted Living Facility in Fremont, MI

Active since November 24, 2009CLIA 23D0975403 · Waiver
102 HILLCREST AVE, FREMONT, MI 49412(231) 924-5050 Get Directions Write a Review

NPPES record last updated: November 24, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fountain View Of Fremont NPPES

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

FOUNTAIN VIEW OF FREMONT (NPI 1326376716) is a healthcare organization registered as an assisted living facility in Fremont, Michigan and active in the NPI registry since November 2009. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists Kim Miller, Administrator, as its authorized official.

NPPES Registry Identity

NPI1326376716
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFOUNTAIN VIEW OF FREMONT
Location Address102 HILLCREST AVEFremont, MI 49412-1348
Mailing Address3196 Kraft Ave Se, Suite 200Grand Rapids, MI 49512-2078 · (616) 464-1564
Organization SubpartNo
Authorized OfficialKim MillerAdministrator · (231) 924-5050
Enumeration DateNovember 24, 2009
NPI 1326376716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in MI · AL620007296
Definition
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.
102 HILLCREST AVE, Fremont, MI 49412

Other Identifiers 1

Other23D0975403MI · Clia

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0975403

Fountain View Of Fremont · Fremont, MI
Active · expires Jul 6, 2028
CLIA Number23D0975403
Laboratory TypeOther
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorShelley Mcdonald
Laboratory Phone(616) 285-0569
Laboratory LocationFountain View Of Fremont102 Hillcrest Ave, Fremont, MI 49412
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Medical Laboratory
102 HILLCREST AVE
FREMONT, MI 49412

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fountain View Of Fremont's NPI number?

The NPI number for Fountain View Of Fremont is 1326376716. It was assigned to this organization in the NPPES registry on November 24, 2009.

Where is Fountain View Of Fremont located?

Fountain View Of Fremont is located at 102 Hillcrest Ave, Fremont, MI 49412. The listed phone number is (231) 924-5050.

What is Fountain View Of Fremont's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Fountain View Of Fremont hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0975403) is associated with this NPI, valid through July 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fountain View Of Fremont was last updated on November 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.