Active NPI
Old
- Adult Care Home Facility
- Luther, MI
National Provider Identifier
1669304358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- OLD
- Practice address
- 924 N State St
Luther, MI 49656-9527 - Phone
- (231) 388-0092
- NPI assigned
- May 29, 2026
- Last updated
- May 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vicki Baker
- Title
- Owner/Administration
- Phone
- (231) 388-0092
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | NU | Primary |
Addresses
Primary practice location
924 N State St
Luther, MI 49656-9527
Mailing address
924 N State St
Luther, MI 49656-9527
Phone (231) 388-0092
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780012800000",
"number": "1669304358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 N STATE ST",
"city": "LUTHER",
"state": "MI",
"postal_code": "496569527",
"telephone_number": "231-388-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "924 N STATE ST",
"city": "LUTHER",
"state": "MI",
"postal_code": "496569527",
"telephone_number": "231-388-0092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLD",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-29",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "VICKI",
"authorized_official_title_or_position": "OWNER/ADMINISTRATION",
"authorized_official_telephone_number": "231-388-0092"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Luther, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.