Spring Lake Compassionate Living
NPI 1417398595ActiveOrganization· Assisted Living Facility· Spring Lake, MI
Assisted Living Facility in Spring Lake, Michigan, registered in NPPES in July 2013. The authorized official on file is Daniel Jay Modderman, Designee.
Overview
| NPI | 1417398595 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 17, 2013 |
| Last updated in NPPES | Jul 18, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | AS700321868 | MI |
| Residential Treatment Facility, Physical Disabilities | 320700000X | AS700321868 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Assisted Living Facility providers in Spring Lake
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