OrganizationActive
Grace Haven Assisted Living LLC
NPI 1053636167 · Clinical Medical Laboratory · Saint Johns, MI
Grace Haven Assisted Living LLC is a Clinical Medical Laboratory organization in Saint Johns, MI (NPI 1053636167).
Provider details
- NPI number
- 1053636167
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Thomas Nobel, President(989) 224-1650
- License
- 23D1102195 (MI)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1507 Glastonbury Dr
Saint Johns, MI 48879-8235
Phone: (989) 224-1650
Street-level locationGet directions
Mailing address
1507 Glastonbury Dr
Saint Johns, MI 48879-8235
Other names (DBA / former)
- Doing business as
- Grace Haven Assisted Living - Laboratory
Registry dates
- Enumerated
- 2010-03-31
- Last updated
- 2011-03-23
Frequently asked questions
- What is Grace Haven Assisted Living LLC's NPI number?
- Grace Haven Assisted Living LLC's National Provider Identifier (NPI) is 1053636167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grace Haven Assisted Living LLC?
- Grace Haven Assisted Living LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Grace Haven Assisted Living LLC located?
- Grace Haven Assisted Living LLC's practice location on file with NPPES is 1507 Glastonbury Dr, Saint Johns, MI 48879-8235.
- What is Grace Haven Assisted Living LLC's phone number?
- The practice phone number listed in the NPPES registry for Grace Haven Assisted Living LLC is (989) 224-1650.
- Who is the authorized official for Grace Haven Assisted Living LLC?
- The authorized official listed on Grace Haven Assisted Living LLC's NPPES record is Thomas Nobel, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grace Haven Assisted Living LLC's NPI active?
- Yes — Grace Haven Assisted Living LLC's NPI (1053636167) is active in the NPPES registry as of the last update on 2011-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.