Northwest Senior Resources Incorporated

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

NORTHWEST SENIOR RESOURCES INCORPORATED

Doing business as

Area Agency on Aging of Northwest Michigan

Practice address

1609 Park Dr
Traverse City, MI 49696-5946

Phone

(231) 947-8920

Fax

(231) 947-6401

NPI assigned

Jul 21, 2006

Last updated

Oct 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert C Schlueter

Title

Executive Director

Phone

(231) 947-8920

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Area Agency on Aging of Northwest Michigan Doing business as

Practitioners 1

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.

• Diana B Waugh, RN

  • Registered Nurse
  • Traverse City, MI
  • NPI 1184344863
  NPD

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1295755122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5946",
            "address_2": "1609 PARK DRIVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496965946",
            "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": "496965946",
            "telephone_number": "231-947-8920",
            "fax_number": "231-947-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SENIOR RESOURCES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "SCHLUETER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "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": "4508855",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Area Agency on Aging of Northwest Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northwest Michigan Health Services, Inc.
• Northwest Michigan Health Services, Inc.
• Northwest Michigan Heart & Vascular Specialists
• Northwest Michigan Surgery Center LLC (Copper Ridge Surgery Center)
• Northwest Michigan Surgical Group, P.C.
• Northwestern Michigan College (Northwestern Michigan College Student Health Services)
• Northwestern Michigan Dermatology
• Northwestern Michigan Dermatology PC
• Northwestern Michigan Emergency Physicians PC
• Northwestern Michigan Neonatology

• Case Management Agency in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Case Management Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.