Organization Active NPI

Area Agency on Aging of NW Michigan

Doing business as Northwest Senior Resources, Inc.

  • Case Management Agency
  • Traverse City, MI
National Provider Identifier
1154564581
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
AREA AGENCY ON AGING OF NW MICHIGAN
Doing business as
Northwest Senior Resources, Inc.
Practice address
1609 Park Dr
Traverse City, MI 49686-4701
Phone
(231) 947-8920
Fax
(231) 947-6401
NPI assigned
Apr 15, 2009
Last updated
Apr 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gregory Piaskowski
Title
Executive Director
Phone
(231) 947-8920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

1609 Park Dr
Traverse City, MI 49686-4701

Mailing address

1609 Park Dr
Traverse City, MI 49686-4701
Phone (231) 947-8920

Other identifiers 1

IdentifierTypeStateIssuer
4509389MedicaidMI

Other names 1

  • Northwest Senior Resources, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

1609 Park Dr
Traverse City, MI 49686
Phone (231) 947-8920

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1154564581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 PARK DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864701",
            "telephone_number": "231-947-8920",
            "fax_number": "231-947-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 PARK DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496864701",
            "telephone_number": "231-947-8920",
            "fax_number": "231-947-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AREA AGENCY ON AGING OF NW MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "PIASKOWSKI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "231-947-8920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4509389",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Senior Resources, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.