NEW LIFE MEDICAL SENIOR CARE PC NPI 1174800411

NPI Information

  • NPI: 1174800411
  • Provider Name: NEW LIFE MEDICAL SENIOR CARE PC
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 105 S WILDWOOD XING APT 20
    LUDINGTON, MI
    ZIP 49431
  • Phone: (231) 233-1704

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NPI Details

NEW LIFE MEDICAL SENIOR CARE PC is a geriatric medicine family medicine in Ludington, MI. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. NEW LIFE MEDICAL SENIOR CARE PC NPI is 1174800411. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 S WILDWOOD XING APT 20
LUDINGTON, MI
ZIP 49431-719
Phone: (231) 233-1704

The provider's authorized official is Daniel Ray Smalley .
The authorized official title is President and has the following contact phone number (231) 233-1704.

The enumeration date for this NPI number is 11/15/2011 and was last updated on 11/15/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QG0300XFamily MedicineGeriatric Medicine5101009049MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E25762MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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