OLD MISSION WOUND CARE INDIANA LLC
NPI 1225878283
Specialist in Traverse City, MI

Active since May 28, 2024
1989 KROUPA RD, TRAVERSE CITY, MI 49686(231) 260-4622 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Old Mission Wound Care Indiana Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OLD MISSION WOUND CARE INDIANA LLC (NPI 1225878283) is a healthcare organization registered as a specialist in Traverse City, Michigan and active in the NPI registry since May 2024. The organization lists Chrisopher Paul Mason, Owner, as its authorized official.

NPPES Registry Identity

NPI1225878283
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameOLD MISSION WOUND CARE INDIANA LLC
Location Address1989 KROUPA RDTraverse City, MI 49686-9759
Mailing Address225 Matlage Way Unit 31Sugar Land, TX 77487-0807 · (231) 260-4622
Organization SubpartNo
Authorized OfficialChrisopher Paul MasonOwner · (231) 260-4622
Enumeration DateMay 28, 2024
Last NPPES UpdateAugust 20, 2024
NPPES CertifiedAugust 18, 2024
NPI 1225878283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1989 KROUPA RD, Traverse City, MI 49686

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
1989 KROUPA RD
TRAVERSE CITY, MI 49686
Specialist
1989 KROUPA RD
TRAVERSE CITY, MI 49686
Specialist
1989 KROUPA RD
TRAVERSE CITY, MI 49686
Specialist
1989 KROUPA RD
TRAVERSE CITY, MI 49686
Specialist
1989 KROUPA RD
TRAVERSE CITY, MI 49686
Specialist
1989 KROUPA RD
TRAVERSE CITY, MI 49686
Specialist
1989 KROUPA RD
TRAVERSE CITY, MI 49686
Specialist
1989 KROUPA RD
TRAVERSE CITY, MI 49686

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Old Mission Wound Care Indiana LLC's NPI number?

The NPI number for Old Mission Wound Care Indiana LLC is 1225878283. It was assigned to this organization in the NPPES registry on May 28, 2024.

Where is Old Mission Wound Care Indiana LLC located?

Old Mission Wound Care Indiana LLC is located at 1989 Kroupa Rd, Traverse City, MI 49686. The listed phone number is (231) 260-4622.

What is Old Mission Wound Care Indiana LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Old Mission Wound Care Indiana LLC was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.