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SPRING LAKE COMPASSIONATE LIVING
NPI 1417398595
Assisted Living Facility in Spring Lake, MI

Active since July 17, 2013
16609 VILLA PKWY, SPRING LAKE, MI 49456(616) 414-5006 Get Directions Write a Review

NPPES record last updated: July 18, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Spring Lake Compassionate Living NPPES

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

SPRING LAKE COMPASSIONATE LIVING (NPI 1417398595) is a healthcare organization registered as an assisted living facility in Spring Lake, Michigan and active in the NPI registry since July 2013. The organization lists Daniel Jay Modderman, Designee, as its authorized official.

NPPES Registry Identity

NPI1417398595
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSPRING LAKE COMPASSIONATE LIVING
Location Address16609 VILLA PKWYSpring Lake, MI 49456-8835
Mailing Address16609 Villa PkwySpring Lake, MI 49456-8835 · (616) 414-5006
Phone(616) 414-5006
Organization SubpartNo
Authorized OfficialDaniel Jay ModdermanDesignee · (616) 334-6262
Enumeration DateJuly 17, 2013
Last NPPES UpdateJuly 18, 2013
✔ NPI 1417398595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MI · AS700321868
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

Also ListedResidential Treatment Facility, Physical DisabilitiesTaxonomy 320700000X · License AS700321868 (MI)
16609 VILLA PKWY, Spring Lake, MI 49456
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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 Spring Lake Compassionate Living's NPI number?

The NPI number for Spring Lake Compassionate Living is 1417398595. It was assigned to this organization in the NPPES registry on July 17, 2013.

Where is Spring Lake Compassionate Living located?

Spring Lake Compassionate Living is located at 16609 Villa Pkwy, Spring Lake, MI 49456. The listed phone number is (616) 414-5006.

What is Spring Lake Compassionate Living's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Spring Lake Compassionate Living was last updated on July 18, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.