PINE RIDGE ASSISTED LIVING FACILITY
NPI 1730514290
Assisted Living Facility in West Olive, MI

Q: What is Pine Ridge Adult Care Home, LLC's NPI number?

The NPI number for Pine Ridge Adult Care Home, LLC is 1730514290. It was assigned to this organization in the NPPES registry on September 3, 2013. The provider is doing business as Pine Ridge Assisted Living Facility.

Q: What is Pine Ridge Adult Care Home, LLC's specialty?

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

Active since September 03, 2013

15467 PORT SHELDON ST, WEST OLIVE, MI 49460(616) 399-1774(616) 738-0009 Get Directions Write a Review

NPPES record last updated: September 3, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Pine Ridge Assisted Living Facility NPPES

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

PINE RIDGE ASSISTED LIVING FACILITY (NPI 1730514290) is a healthcare organization registered as an assisted living facility in West Olive, Michigan and active in the NPI registry since September 2013. The organization lists Debra Ann Westerhof, Licensee, as its authorized official.

NPPES Registry Identity

NPI1730514290

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NamePINE RIDGE ADULT CARE HOME, LLC

Location Address15467 PORT SHELDON STWest Olive, MI 49460-9715

Mailing Address15467 Port Sheldon StWest Olive, MI 49460-9715 · (616) 399-1774 · Fax (616) 738-0009

Phone(616) 399-1774

Fax(616) 738-0009

Organization SubpartNo

Authorized OfficialDebra Ann WesterhofLicensee · (616) 399-1774

Enumeration DateSeptember 3, 2013

✔ NPI 1730514290 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 · AL700079149

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.

15467 PORT SHELDON ST, West Olive, MI 49460

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Other Names 1

Doing Business AsPine Ridge Assisted Living Facility

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 Pine Ridge Adult Care Home, LLC's NPI number?

The NPI number for Pine Ridge Adult Care Home, LLC is 1730514290. It was assigned to this organization in the NPPES registry on September 3, 2013. The provider is doing business as Pine Ridge Assisted Living Facility.

Where is Pine Ridge Adult Care Home, LLC located?

Pine Ridge Adult Care Home, LLC is located at 15467 Port Sheldon St, West Olive, MI 49460. The listed phone number is (616) 399-1774.

What is Pine Ridge Adult Care Home, 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 Pine Ridge Adult Care Home, LLC was last updated on September 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.