TRAVERSE VICTORIAN ASSISTED LIVING, LLC
NPI 1336628023
Assisted Living Facility in Traverse City, MI

Active since August 13, 2018
461 MUNSON AVE, TRAVERSE CITY, MI 49686(231) 947-4626 Get Directions Write a Review

NPPES record last updated: August 13, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Traverse Victorian Assisted Living, Llc NPPES

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

TRAVERSE VICTORIAN ASSISTED LIVING, LLC (NPI 1336628023) is a healthcare organization registered as an assisted living facility in Traverse City, Michigan and active in the NPI registry since August 2018. The organization lists William Martin Eddington, Representative, as its authorized official.

NPPES Registry Identity

NPI1336628023
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTRAVERSE VICTORIAN ASSISTED LIVING, LLC
Location Address461 MUNSON AVETraverse City, MI 49686-3577
Mailing Address461 Munson AveTraverse City, MI 49686-3577 · (231) 947-4626
Organization SubpartNo
Authorized OfficialWilliam Martin EddingtonRepresentative · (231) 218-2948
Enumeration DateAugust 13, 2018
NPI 1336628023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.

461 MUNSON AVE, Traverse City, MI 49686

Other Names 1

Other NameTraverse Victorian Assisted Living, Llc

Other Providers at the Same Location NPPES

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

Assisted Living Facility
461 MUNSON AVE
TRAVERSE CITY, MI 49686

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 Traverse Victorian Assisted Living, LLC's NPI number?

The NPI number for Traverse Victorian Assisted Living, LLC is 1336628023. It was assigned to this organization in the NPPES registry on August 13, 2018.

Where is Traverse Victorian Assisted Living, LLC located?

Traverse Victorian Assisted Living, LLC is located at 461 Munson Ave, Traverse City, MI 49686. The listed phone number is (231) 947-4626.

What is Traverse Victorian Assisted Living, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Traverse Victorian Assisted Living, LLC was last updated on August 13, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.