OrganizationActive
Maple Ridge Living Center
NPI 1205183449 · Clinic/Center · Lake City, MI
Provider details
- NPI number
- 1205183449
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jamie Kunkel, Administrator/Licensee(231) 839-1011
- License
- AL570303169 (MI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
2575 W Houghton Lake Rd
Lake City, MI 49651-8820
Phone: (231) 839-1011
Street-level locationGet directions
Mailing address
2575 W Houghton Lake Rd
Lake City, MI 49651-8820
Registry dates
- Enumerated
- 2012-08-07
- Last updated
- 2012-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.