Mother Strong Maternal Infant Health Program, LLC

Primary specialty

Maternal Newborn Registered NurseTaxonomy code 163WM0102X

Legal business name

MOTHER STRONG MATERNAL INFANT HEALTH PROGRAM, LLC

Practice address

5430 Owen Rd
Linden, MI 48451-9024

Phone

(989) 600-9399

NPI assigned

Nov 11, 2019

Last updated

Nov 11, 2019By 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

Leontine Wallace, RN

Title

RN/Coordinator/Sole Member

Phone

(989) 600-9399

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1573430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1649815986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 OWEN RD",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484519024",
            "telephone_number": "989-600-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 OWEN RD",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484519024",
            "telephone_number": "989-600-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER STRONG MATERNAL INFANT HEALTH PROGRAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-11",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "LEONTINE",
        "authorized_official_title_or_position": "RN/COORDINATOR/SOLE MEMBER",
        "authorized_official_telephone_number": "989-600-9399",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine McMullen, LLMSW
• Korena Metcalfe
• Michael S. O'Hara, P.C. (Linden Physical Therapy)
• Lauren Mills
• Merri Marie Moffatt
• Emma Murton
• Naberhaus Therapy, Inc. (Building Bridges Therapy Center)
• Nest to Breast Doula LLC
• NFL Assisted Living, LLC (Young At Heart)
• Joann Niedecken

• Maternal Newborn Registered Nurse in Linden, MI
• Providers in Linden, MI by specialty
• Maternal Newborn Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2019; 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.