NPIMap

Organization Active NPI

Northwood Inc

  • Durable Medical Equipment & Medical Supplies
  • Madison Heights, MI
National Provider Identifier
1851337604
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
NORTHWOOD INC
Practice address
25790 Commerce Dr Ste 100
Madison Heights, MI 48071-4157
Phone
(586) 755-3830
Fax
(586) 755-3733
NPI assigned
Jun 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Authorized official

Name
Ken Fasse
Title
President
Phone
(586) 755-3830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

25790 Commerce Dr Ste 100
Madison Heights, MI 48071-4157

Mailing address

25790 Commerce Dr
Madison Heights, MI 48071-4157
Phone (586) 755-3830

Other identifiers 2

IdentifierTypeStateIssuer
2139656OtherPK
4961470MedicaidMI

Other names 1

  • CARE CONNECTION PLUS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930071931 MI DME Supplier - Medical Supply Company With Respiratory Therapist 3072721620 Practice locations: Madison Heights, MI

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 48

Organizations listed as members of this organization in the National Provider Directory.

View all 48

Locations

25709 Van Dyke Ave
Center Line, MI 48015
Phone (800) 919-3942

25790 Commerce Dr
Ste 100
Madison Heights, MI 48071
Phone (586) 755-3830

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551744000000",
    "number": "1851337604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25790 COMMERCE DR",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480714157",
            "telephone_number": "586-755-3830",
            "fax_number": "586-755-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25790 COMMERCE DR STE 100",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480714157",
            "telephone_number": "586-755-3830",
            "fax_number": "586-755-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOOD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2019-03-05",
        "status": "A",
        "authorized_official_last_name": "FASSE",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-755-3830"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2139656",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4961470",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARE CONNECTION PLUS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CARE CONNECTION PLUS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.