# MEADOWLARK RETIREMENT VILLAGE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PORTER HILLS RETIREMENT COMMUNITIES AND SERVICES
- **Other names:** Porter Hills Retirement Communities and Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1891116182
- **Legal business name:** PORTER HILLS RETIREMENT COMMUNITIES AND SERVICES
- **Authorized official:** MS. INGRID WEAVER (VICE PRESIDENT OF OPERATIONS)
- **Authorized official phone:** (616) 949-4975

## Contact information

- **Practice address:** 65 IDA RED AVE, SPARTA, MI 49345-1735
- **Practice address phone:** (616) 887-8891
- **Practice address fax:** (616) 887-1795
- **Mailing address:** 4450 CASCADE RD SE, SUITE 200, GRAND RAPIDS, MI 49546-8330
- **Mailing address phone:** (616) 949-4975
- **Mailing address fax:** (616) 954-1795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | AL410085015 | MI | Yes |

## Other

- **Enumeration date:** 01/03/2014
- **Last updated:** 01/03/2014