Active NPI
Lutheran Homes of Michigan, Inc.
- Family Medicine Physician
- Saginaw, MI
National Provider Identifier
1760022941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LUTHERAN HOMES OF MICHIGAN, INC.
- Doing business as
- Wellspring Lutheran Services
- Practice address
- 5935 Shattuck Rd
Saginaw, MI 48603-2699 - Phone
- (989) 262-7436
- NPI assigned
- Jan 15, 2020
- 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
- Timothy R Kalbfleisch
- Title
- Sr. VP/Cfo
- Phone
- (248) 635-3316
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
5935 Shattuck Rd
Saginaw, MI 48603-2699
Mailing address
4100 Pier North Blvd Ste a
Flint, MI 48504-1487
Phone (989) 262-7388
Other practice location 1
100 Mayer Rd
Frankenmuth, MI 48734-1334
Phone (844) 467-3356
Other practice location 2
725 W Genesee St
Frankenmuth, MI 48734-1316
Phone (989) 652-9951
Other names 1
- Wellspring Lutheran Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579046400000",
"number": "1760022941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 PIER NORTH BLVD STE A",
"city": "FLINT",
"state": "MI",
"postal_code": "485041487",
"telephone_number": "989-262-7388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5935 SHATTUCK RD",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486032699",
"telephone_number": "989-262-7436"
}
],
"practiceLocations": [
{
"address_1": "100 Mayer Rd",
"address_purpose": "LOCATION",
"city": "Frankenmuth",
"state": "MI",
"postal_code": "487341334",
"country_code": "US",
"telephone_number": "844-467-3356",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 W Genesee St",
"address_purpose": "LOCATION",
"city": "Frankenmuth",
"state": "MI",
"postal_code": "487341316",
"country_code": "US",
"telephone_number": "989-652-9951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LUTHERAN HOMES OF MICHIGAN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-15",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A",
"authorized_official_last_name": "KALBFLEISCH",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "SR. VP/CFO",
"authorized_official_telephone_number": "248-635-3316"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wellspring Lutheran Services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.