Healthcare Provider Details

I. General information

NPI: 1902122005
Provider Name (Legal Business Name): WHISPERING PINES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2010
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N16003 MAIN ST
POWERS MI
49874-9607
US

IV. Provider business mailing address

N16003 MAIN ST
POWERS MI
49874-9607
US

V. Phone/Fax

Practice location:
  • Phone: 906-497-5580
  • Fax:
Mailing address:
  • Phone: 906-497-5580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: JESSICA BOUCHER
Title or Position: ADMINISTRATOR
Credential:
Phone: 906-497-5580