Organization Active NPI

Northwest Michigan Community Action Agency

  • Home Delivered Meals
  • Traverse City, MI
National Provider Identifier
1972939809
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
Legal business name
NORTHWEST MICHIGAN COMMUNITY ACTION AGENCY
Practice address
3963 3 Mile Rd N
Traverse City, MI 49686-9164
Phone
(231) 947-3780
Fax
(231) 947-4469
NPI assigned
Sep 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Mrs. Lisa Bohn Robitshek
Title
Senior Nutrition Manager
Phone
(231) 947-3780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X Primary

Addresses

Primary practice location

3963 3 Mile Rd N
Traverse City, MI 49686-9164

Mailing address

3963 3 Mile Rd N
Traverse City, MI 49686-9164
Phone (231) 947-3780

Other names 1

  • Meals on Wheels of Northwest Michigan Doing business as

National Provider Directory

National Provider Directory

Locations

3963 3 Mile Rd N
Traverse City, MI 49686
Phone (231) 947-3780

NPI Registry JSON

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1972939809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3963 3 MILE RD N",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496869164",
            "telephone_number": "231-947-3780",
            "fax_number": "231-947-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3963 3 MILE RD N",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496869164",
            "telephone_number": "231-947-3780",
            "fax_number": "231-947-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MICHIGAN COMMUNITY ACTION AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "ROBITSHEK",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "BOHN",
        "authorized_official_title_or_position": "SENIOR NUTRITION MANAGER",
        "authorized_official_telephone_number": "231-947-3780",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meals on Wheels of Northwest Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.