Parkside of Northport

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AH450293385 Issued in MI

Legal business name

PARKSIDE OF NORTHPORT

Practice address

215 S High St
Northport, MI 49670-9807

Phone

(231) 386-9900

Fax

(231) 386-5146

NPI assigned

Oct 26, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Kathryn Ann Browning

Title

Director of Resident Services

Phone

(231) 386-9900

Specialties & licenses 1

Addresses

Other names 1

• Northport Highlands Doing business as

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1487930145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 S. HIGH STREET",
            "city": "NORTHPORT",
            "state": "MI",
            "postal_code": "49670",
            "telephone_number": "231-386-9900",
            "fax_number": "231-386-5146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S HIGH ST",
            "city": "NORTHPORT",
            "state": "MI",
            "postal_code": "496709807",
            "telephone_number": "231-386-9900",
            "fax_number": "231-386-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE OF NORTHPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "BROWNING",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF RESIDENT SERVICES",
        "authorized_official_telephone_number": "231-386-9900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AH450293385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northport Highlands",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael J Ziter MD PLLC
• Michael J Ziter MD PLLC
• Northport Medical Clinic PLC
• Northport Medical Clinic PLLC
• Northport Physical Therapy, LLC
• Douglas James Racich, D.D.S.
• Michael Howard Rummel, DDS
• Susan Ellen Thomas
• Township of Leelanau
• Robert Underhill, M.D.

• All providers in Northport, MI
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.