FANNVIEW AFC LLC


Address: 1948 Millbank St Se, Grand Rapids, MI 49508-2673
Phone: 6163509124

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1948 MILLBANK ST SE
City GRAND RAPIDS
State MI
Zip Code 49508-2673

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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy 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.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

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
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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
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Competitor

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City GRAND RAPIDS
Zip Code 49508

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Dataset Information

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.

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