FANNVIEW AFC LLC (NPI# 1053850776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053850776 |
Entity Type | Organization |
Organization Name | FANNVIEW AFC LLC |
Practice Address |
1948 Millbank St Se Grand Rapids MI 49508-2673 |
Mailing Address |
210 Hodenpyl Rd Se Grand Rapids MI 49506-2060 |
Practice Telephone | 6163509124 |
Mailing Telephone | 2483422698 |
Enumeration Date | 2017-02-14 |
Last Update Date | 2017-02-14 |
Authorized Official Name | NADINE CARLSON (OWNER) |
Authorized Official Telephone | 2483422698 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 385H00000X | Respite Care | AS410317479 | MI | Respite Care Facility |
Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AS410317479 | MI | Nursing & Custodial Care Facilities |
Street Address |
1948 MILLBANK ST SE |
City | GRAND RAPIDS |
State | MI |
Zip Code | 49508-2673 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063012367 | Jenna Brianne Labrecque | Social Worker | 2013 East Castle Dr, Suite B, Kentwood, MI 49508 | 2020-10-27 |
1881208809 | Morgan Paige Ballmann | Physical Therapy Assistant | 4150 Kalamazoo Ave. Se, Grand Rapids, MI 49508 | 2020-09-08 |
1699385740 | Jodie Lynn Robertson | Prosthetist | 3720 Eastern Se, Grand Rapids, MI 49508 | 2020-08-04 |
1003460874 | Derm Institute of West Michigan Plc | Dermatology | 6750 Kalamazoo Ave, Suites C & D, Grand Rapids, MI 49508 | 2019-07-30 |
1255801833 | Ikeia Tynika Hill | Licensed Practical Nurse | 1627 Lotus, Grand Rapids, MI 49508 | 2018-11-27 |
1326556838 | Araceli Contreras-hernandez | Behavior Technician | 3566 Eastern Ave. Se, Kentwood, MI 49508 | 2018-01-18 |
1881102788 | A Grand Rapids Senior Social Exchange and Adult Day Center | In Home Supportive Care | 3212 Eastern Ave Se, Grand Rapids, MI 49508 | 2018-01-14 |
1952827107 | Nupoint Services LLC | Clinic/Center | 1620 44th Street Se, Grand Rapids, MI 49508 | 2017-08-19 |
1710427695 | Embracing Life Afc | Custodial Care Facility | 1405 Forrester St S.e., Grand Rapids, MI 49508 | 2017-02-27 |
1083162838 | Katherine Berenice Campoverde Arevalo | Technician, Other | 1157 Billigs Ct Se, Ap# 1a, Grand Rapids, MI 49508 | 2016-09-21 |
Find all providers in zip 49508 |
Taxonomy Code | 311ZA0620X |
Grouping | Nursing & Custodial Care Facilities |
Classification | Custodial Care Facility |
Specialization | Adult Care Home |
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. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851893176 | Mike's Way Inc | Custodial Care Facility | 1552 Robinson Rd Se, Grand Rapids, MI 49506-1748 | 2018-03-02 |
1336655034 | Michael D Wagner | Custodial Care Facility | 807 Pine Ave Nw, Grand Rapids, MI 49504-4340 | 2017-12-18 |
1518496900 | 733 Prince LLC | Custodial Care Facility | 733 Prince St Se, Grand Rapids, MI 49507 | 2017-06-08 |
1689102931 | Jerry's Dream Adult Homes | Custodial Care Facility | 1124 W Leonard Ct Nw, Grand Rapids, MI 49534-6835 | 2017-05-31 |
1801324538 | Tenagne Mengistu | Custodial Care Facility | 604 Jefferson Ave Se, Grand Rapids, MI 49503-5218 | 2017-05-25 |
1649708488 | Extended Care At Ramsdell | Custodial Care Facility | 3109 Lawton Dr Ne, Grand Rapids, MI 49525-2916 | 2017-05-24 |
1700314564 | Covenant Enabling Residences of Michigan | Custodial Care Facility | 340 Thornridge Ct Nw, Grand Rapids, MI 49504-5887 | 2017-05-24 |
1285161257 | Caring Meadows Living Center Inc | Custodial Care Facility | 1171 Lafayette Ave Se, Grand Rapids, MI 49507-1108 | 2017-05-22 |
1548796576 | Nathan Bieszka | Custodial Care Facility | 3671 Senora Ave Se, Grand Rapids, MI 49508-5501 | 2017-05-11 |
1306372396 | Holton Management, LLC | Custodial Care Facility | 2101 Francis Ave Se, Grand Rapids, MI 49507-3016 | 2017-05-11 |
Find all providers in GRAND RAPIDS |
City | GRAND RAPIDS |
Zip Code | 49508 |
Please comment or provide details below to improve the information on FANNVIEW AFC LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.