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NPI Code Detail

MEDICARE: NORTHPOINT SENIOR SERVICES LLC

MEDICARE: NORTHPOINT SENIOR SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility114150MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871586750
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHPOINT SENIOR SERVICES LLC
Provider Business Mailing Address
First Line : 7400 NEW LAGRANGE ROAD
Second Line : SUITE 100
City : LOUISVILLE
State : KY
Zip : 40222-4870
Country : US
Telephone Number : 502-429-8062
Fax Number : 502-429-0650
Provider Business Practice Location Address
First Line : 1385 E EMPIRE AVE
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-2037
Country : US
Telephone Number : 269-925-0033
Fax Number : 269-925-2019
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MRS. CARLA ANN BROOKS
Credential :
Telephone Number : 502-429-8062
Provider Enumeration Date : 08/26/2005
Last Update Date : 11/29/2011

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