St. Ann Corporation Dba Brightstar of Northern Michigan

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ST. ANN CORPORATION DBA BRIGHTSTAR OF NORTHERN MICHIGAN

Practice address

525 W 14TH St
Suite 6
Traverse City, MI 49684-4060

Phone

(231) 929-7827

Fax

(231) 929-7829

NPI assigned

Dec 7, 2009

Organization subpart

No

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

Authorized official

Name

John H Zimmerman Jr.

Title

Owner

Phone

(231) 929-7827

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1881922672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W 14TH ST",
            "address_2": "SUITE 6",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844060",
            "telephone_number": "231-929-7827",
            "fax_number": "231-929-7829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W 14TH ST",
            "address_2": "SUITE 6",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844060",
            "telephone_number": "231-929-7827",
            "fax_number": "231-929-7829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ANN CORPORATION DBA BRIGHTSTAR OF NORTHERN MICHIGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-929-7827",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springside Soulutions L.L.C.
• William Allan Springstead, MD
• Peter W Springsteen, M.D.
• Robert William Sprunk, MD
• SQDQ Corp
• Steven St. Charles, M.D.
• Alicia Marie St. Sauveur
• Stacey Beyer, Otr PLLC (Therapy Connections)
• Katie Stachowicz, PT, DPT
• Theresa Dawn Stack, LMSW

• Home Health Agency in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.