OrganizationActive
Ascension Assisted Living, LLC
NPI 1639618903 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Grand Rapids, MI
Provider details
- NPI number
- 1639618903
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Bradford Martell, Owner/Licensee(616) 402-0477
- License
- AS410338232 (MI)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense AS410338232 (MI)
Residential Treatment Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
2646 Leonard St Nw
Grand Rapids, MI 49504-3760
Phone: (616) 427-3381
Fax: (616) 427-3381
Street-level locationGet directions
Mailing address
2752 Schindler Dr Nw
Grand Rapids, MI 49544-9115
Registry dates
- Enumerated
- 2017-02-19
- Last updated
- 2017-02-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.