NPI 1730177015 · live from the CMS NPI Registry
Ausable Valley Continuing Care Retirement Community, INC.
Skilled Nursing Facility in Fairview, MI. National Provider Identifier 1730177015, active.
NPI record
| NPI | 1730177015 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 1390 Maple Dr, Fairview, MI 48621 |
| Practice phone | 989-848-2241 |
| Enumerated | October 11, 2005 |
| Last updated | September 24, 2024 |
| Authorized official | Timothy Kalbfleisch, Cfo |
| Other names | Wellspring Lutheran Services |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | — (MI) |
| Skilled Nursing Facility primary | 314000000X | — (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.