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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

OLD
NPI 1669304358
Custodial Care Facility - Adult Care Home in Luther, MI

Active since May 29, 2026
924 N STATE ST, LUTHER, MI 49656(231) 388-0092 Get Directions Write a Review

NPPES record added: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Old NPPES

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

OLD (NPI 1669304358) is a healthcare organization registered as an adult care home in Luther, Michigan and active in the NPI registry since May 2026. The organization lists Vicki Baker, Owner/administration, as its authorized official.

NPPES Registry Identity

NPI1669304358
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameOLD
Location Address924 N STATE STLuther, MI 49656-9527
Mailing Address924 N State StLuther, MI 49656-9527 · (231) 388-0092
Phone(231) 388-0092
Organization SubpartNo
Authorized OfficialVicki BakerOwner/administration · (231) 388-0092
Enumeration DateMay 29, 2026
NPPES CertifiedMay 29, 2026
✔ NPI 1669304358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
924 N STATE ST, Luther, MI 49656
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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 Old's NPI number?

The NPI number for Old is 1669304358. It was assigned to this organization in the NPPES registry on May 29, 2026.

Where is Old located?

Old is located at 924 N State St, Luther, MI 49656. The listed phone number is (231) 388-0092.

What is Old's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Old was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.