Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Ivy Lane Residence LLC

Adult Care Home Facility in Wyoming, MI · enumerated 2023 · authorized official Najib Moalin, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679341770

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Registry record

Entity type Organization (Type 2)

Legal business name Ivy Lane Residence LLC

Practice address 4897 Grenadier Dr Sw, Wyoming, MI, 49509

Phone (612) 232-5643

Enumeration date Dec 18, 2023

Last updated in NPPES Dec 18, 2023

Taxonomy & classification

311ZA0620X Adult Care Home Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Najib Moalin

Title Director

Phone (612) 232-5643

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Ivy Lane Residence LLC located?

The practice location on file with NPPES is in Wyoming, MI.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-12-18. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-18.