Provider Demographics
NPI:1245478056
Name:PIONEER RESOURCES, INC.
Entity type:Organization
Organization Name:PIONEER RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:BONTHUIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-773-5355
Mailing Address - Street 1:1145 WESLEY AVE
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-2100
Mailing Address - Country:US
Mailing Address - Phone:231-773-5355
Mailing Address - Fax:231-777-3507
Practice Address - Street 1:1145 WESLEY AVE
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-2100
Practice Address - Country:US
Practice Address - Phone:231-773-5355
Practice Address - Fax:231-777-3507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-02
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAS610016252320900000X
MIAS610014931320900000X
MIAM610009233320900000X
MIAS610016251320900000X
MIAS610077781320900000X
MIEH011WHCL8320900000X
320900000X, 343900000X, 373H00000X, 385HR2050X, 103K00000X, 106S00000X, 251C00000X, 311ZA0620X
MIAM610009234320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No385HR2050XRespite Care FacilityRespite CareRespite Care Camp
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home