SPRING LAKE COMPASSIONATE LIVING NPI 1417398595

NPI Information

NPI: 1417398595
Provider Name: SPRING LAKE COMPASSIONATE LIVING
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
16609 VILLA PKWY
SPRING LAKE, MI
ZIP 49456
Phone: (616) 414-5006
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SPRING LAKE COMPASSIONATE LIVING is an assisted living facility in Spring Lake, MI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. SPRING LAKE COMPASSIONATE LIVING NPI is 1417398595. The provider is registered as an organization entity type.

The provider's business location address is:

16609 VILLA PKWY
SPRING LAKE, MI
ZIP 49456-835
Phone: (616) 414-5006

The provider's authorized official is Daniel Jay Modderman .
The authorized official title is Designee and has the following contact phone number (616) 334-6262.

The enumeration date for this NPI number is 7/17/2013 and was last updated on 7/18/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320700000X	Residential Treatment Facility, Physical Disabilities		AS700321868	MICHIGAN	No
2	310400000X	Assisted Living Facility		AS700321868	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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