Provider Demographics
NPI:1043596422
Name:NORTHERN SPRINGS MANAGEMENT CO
Entity Type:Organization
Organization Name:NORTHERN SPRINGS MANAGEMENT CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCKMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-838-1251
Mailing Address - Street 1:6662 E 26 1/4 RD
Mailing Address - Street 2:
Mailing Address - City:CADILLAC
Mailing Address - State:MI
Mailing Address - Zip Code:49601-8169
Mailing Address - Country:US
Mailing Address - Phone:231-675-1348
Mailing Address - Fax:231-468-2171
Practice Address - Street 1:6662 E 26 1/4 RD
Practice Address - Street 2:
Practice Address - City:CADILLAC
Practice Address - State:MI
Practice Address - Zip Code:49601-8169
Practice Address - Country:US
Practice Address - Phone:231-675-1348
Practice Address - Fax:231-468-2171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-29
Last Update Date:2011-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAM150282503251E00000X
MIAL400294299251E00000X
MIAM400282377251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health