Resilience North LLC
Organization Active NPI Social Worker · Mecosta, MI
NPI 1538052014 · NPPES record last updated Jun 2, 2025
Key facts
- NPI
- 1538052014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Social Worker 104100000X
- Legal business name
- RESILIENCE NORTH LLC
- Practice address
- 7050 9 Mile Rd
Mecosta, MI 49332-9722 - Phone
- (231) 679-6105
- NPI assigned
- Jun 2, 2025
- Organization subpart
- No
Authorized official
- Name
- Michael Bausano, LMSW
- Title
- Owner
- Phone
- (231) 679-6105
Practitioners 1
-
Michael Jerome Bausano, SOCIAL WORKER
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250709002642 | MI | Part B Supplier - Clinic/Group Practice | 6103330378 |
Receives reassigned benefits from 1 practitioner Practice locations: Mecosta, MI |
National Provider Directory
Locations
7050 9 Mile Rd
Mecosta, MI 49332
Phone (231) 679-6105
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | Yes |
Addresses
Primary practice location
7050 9 Mile Rd
Mecosta, MI 49332-9722
Mailing address
6713 Sunset LN
Canadian Lakes, MI 49346-8832
Phone (231) 679-6105
Other providers in Mecosta, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.