Wellspring Lutheran Services

LBN: Ausable Valley Continuing Care Retirement Community, Inc.
Wellspring Lutheran Services is an health care organization with primary practice located at 1390 Maple Dr , Fairview MI 48621-8703. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Ausable Valley Continuing Care Retirement Community, Inc. can be contacted via phone (989) 848-2241, or through Storms, Amy Elizabeth via phone (989) 262-7389.

Contact Information

Primary practice address
1390 Maple Dr Fairview MI 48621-8703
Phone: (989) 848-2241
Fax: (989) 848-5526
Website:
Map and Directions
Authorized official contact:
Name: Storms, Amy Elizabeth
Phone: (989) 262-7389

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X Michigan
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Michigan

Profile Details

NPI number 1730177015
LBN Legal business name Ausable Valley Continuing Care Retirement Community, Inc.
DBA Doing business as Wellspring Lutheran Services
Authorized official Storms, Amy Elizabeth
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730177015 NPPES
Michigan MEDICAID 2152404

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