Northern Pathways

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

NORTHERN PATHWAYS

Practice address

12700 Lincoln Lake Ave.
Gowen, MI 49326

Phone

(616) 712-6022

NPI assigned

Sep 3, 2021

Last updated

Sep 3, 2021By 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

Frances Marie Wagner

Title

License Designer

Phone

(616) 712-6002

Specialties & licenses 1

Addresses

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.

• Rose Marie Bouck

  • Adult Care Home Facility
  • Gowen, MI
  • NPI 1073081907
  NPD (past)
• Angela Marie Welch

  • Adult Care Home Facility
  • Gowen, MI
  • NPI 1932637212
  NPD (past)

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630627200000",
    "number": "1366110314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 LINCOLN LAKE AVE.",
            "city": "GOWEN",
            "state": "MI",
            "postal_code": "49326",
            "telephone_number": "616-712-6002",
            "fax_number": "616-712-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 LINCOLN LAKE AVE.",
            "city": "GOWEN",
            "state": "MI",
            "postal_code": "49326",
            "telephone_number": "616-712-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PATHWAYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSE DESIGNER",
        "authorized_official_telephone_number": "616-712-6002"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tia Nicole Christensen
• Kathi June Grifhorst, DC
• Amanda D Hansing, LPC
• Katherine E Jourden
• Hamanni Lee
• Tracy Parent
• Frances Marie Wagner
• Angela Marie Welch

• Adult Care Home Facility in Gowen, MI
• Providers in Gowen, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.