NPIMap

Organization Active NPI

Senior Resources of West Michigan

Doing business as Senior Resources/Region 14 AAA

  • Case Management Agency
  • Muskegon, MI
National Provider Identifier
1336382571
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SENIOR RESOURCES OF WEST MICHIGAN
Doing business as
Senior Resources/Region 14 AAA
Practice address
560 Seminole Rd
Muskegon, MI 49444-3720
Phone
(231) 739-5858
Fax
(231) 739-4452
NPI assigned
Apr 17, 2009
Last updated
Apr 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Pam Curtis
Title
Executive Director
Phone
(231) 739-5858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

560 Seminole Rd
Muskegon, MI 49444-3720

Mailing address

560 Seminole Rd
Muskegon, MI 49444-3720
Phone (231) 739-5858

Other identifiers 1

IdentifierTypeStateIssuer
0004509333MedicaidMI

Other names 1

  • Senior Resources/Region 14 AAA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160408001868 MI Part B Supplier - Clinic/Group Practice 7315245222 Receives reassigned benefits from 11 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Norton Shores, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1336382571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 SEMINOLE RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443720",
            "telephone_number": "231-739-5858",
            "fax_number": "231-739-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 SEMINOLE RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494443720",
            "telephone_number": "231-739-5858",
            "fax_number": "231-739-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR RESOURCES OF WEST MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "231-739-5858"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0004509333",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Resources/Region 14 AAA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.