CMS-1500 Box 24J / 33a • NPI
1952705659
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
310400000X
Licensed & Credentialed Assisted Living Facility
Box 32 Service Location & ZIP+4
8001 COTTONWOOD DR, JENISON, MI, 49428-8304
✓ 9-Digit EDI 837 ZIP+4 (49428-8304)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1952705659 (AHSL JENISON OPERATIONS, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1952705659 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AHSL JENISON OPERATIONS, LLC |
| Plain-English Specialty | Licensed & Credentialed Assisted Living Facility NUCC Code: 310400000X (Assisted Living Facility) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 8001 COTTONWOOD DR, JENISON, MI, 49428-8304 |
| Practice Telephone / Fax | Tel: (616) 457-9815 |
| Administrative Mailing Address | 6755 TELEGRAPH RD, BLOOMFIELD HILLS, MI, 48301-3180 |
| Enumeration & Last Sync | Enumerated: 2014-10-09 | CMS Record Updated: 2014-10-09 |
| Authorized Official | ROBERT GILLETTE (Chief Operating Office) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (310400000X)
What Does Taxonomy Code 310400000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 310400000X translates to:
"Licensed & Credentialed Assisted Living Facility"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AHSL JENISON OPERATIONS, LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
310400000X — Assisted Living FacilityPlain English: Licensed & Credentialed Assisted Living Facility | State: MI | License: AL 700365136 | Primary: Secondary |
310400000X — Assisted Living FacilityPlain English: Licensed & Credentialed Assisted Living Facility | State: MI | License: AL 700365137 | Primary: Secondary |
310400000X — Assisted Living FacilityPlain English: Licensed & Credentialed Assisted Living Facility | State: MI | License: AL 700364907 | Primary: Secondary |
311500000X — Alzheimer Center (Dementia Center)Plain English: Licensed & Credentialed Alzheimer Center (Dementia Center) | State: MI | License: AL 700365138 | Primary: Secondary |
311500000X — Alzheimer Center (Dementia Center)Plain English: Licensed & Credentialed Alzheimer Center (Dementia Center) | State: MI | License: AL 700364908 | Primary: Secondary |
310400000X — Assisted Living FacilityPlain English: Licensed & Credentialed Assisted Living Facility | State: MI | License: AL 700365135 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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