GUNDEN AFC (NPI# 1306115894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306115894 |
| Entity Type | Organization |
| Organization Name | GUNDEN AFC |
| Practice Address |
16 Kapplinger Dr Farwell MI 48622-9405 |
| Mailing Address |
Po Box 129 Farwell MI 48622-0129 |
| Practice Telephone | 9895886769 |
| Mailing Telephone | 9895886769 |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2011-12-29 |
| Authorized Official Name | JAY GUNDEN (HOME PROVIDER) |
| Authorized Official Telephone | 9895886769 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | AS180010543 | MI | Residential Treatment Facilities |
| Street Address |
16 KAPPLINGER DR |
| City | FARWELL |
| State | MI |
| Zip Code | 48622-9405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782075 | Sharon Lynn Dewey | Custodial Care Facility | 1425 Ziggy Rd., Farwell, MI 48622 | 2020-02-21 |
| 1568985836 | Lacie K Dewitt | Behavior Technician | 1800 W. Ludington Dr., Farwell, MI 48622 | 2017-07-19 |
| 1710230610 | Elite Home Health Care Plus | Home Health | 1525 West Battle Road, Farwell, MI 48622 | 2012-10-17 |
| 1194811695 | Glenn J Laffy | Speech-Language Pathologist | 11348 N Fordyce, Farwell, MI 48622 | 2006-10-04 |
| 1306866215 | Central Michigan Family Practice | Family Medicine | 522 East Main Street, Farwell, MI 48622 | 2006-07-20 |
| 1073751160 | Pennie Kathaleen Marshall | Licensed Practical Nurse | 9441 Creek View Dr, Farwell, MI 48622-8452 | 2009-01-27 |
| 1588094684 | Abby Veit | Physical Therapy Assistant | 5475 W Ludington Dr, Farwell, MI 48622-8718 | 2013-11-26 |
| 1760788806 | Elizabeth Marie Winegar | Dentist | 301 W Main St, Farwell, MI 48622-8753 | 2011-02-08 |
| 1982861829 | Colleen Quesada Dmd Pllc | Dentist | 301 W Main St, Farwell, MI 48622-8753 | 2008-05-19 |
| 1912121336 | Colleen S Quesada | Dentist | 301 W Main St, Farwell, MI 48622-8753 | 2007-04-13 |
| Find all providers in zip 48622 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199507 | Laura Lisa Gonzalez | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7134 Blankenship Cir, Davison, MI 48423-2317 | 2020-09-17 |
| 1558984377 | Angel Patient Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12601 E Outer Dr, Detroit, MI 48224-4204 | 2020-05-27 |
| 1659990208 | Lydias House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11667 152nd Ave, West Olive, MI 49460-9232 | 2020-04-14 |
| 1124667118 | Alternative Community Living, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2678 S Waverly Hwy, Lansing, MI 48911-6303 | 2019-12-23 |
| 1215579537 | Eden Prairie Residential Care Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 302 Welch Blvd, Flint, MI 48503-1105 | 2019-10-09 |
| 1518428333 | Alternative Adult Residence LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 19163 Woodingham Dr, Detroit, MI 48221-1650 | 2019-03-26 |
| 1245701960 | Teresa Elaine Guzman | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 130 Marvin St, Battle Creek, MI 49017-8040 | 2018-12-06 |
| 1508334764 | Marquette Staffing Agency, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 592 Blemhuber Ave, Marquette, MI 49855-4818 | 2018-11-06 |
| 1912481235 | Adrienne Flowers | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18403 Kentucky St, Detroit, MI 48221-2029 | 2018-09-21 |
| 1417431487 | Helping Hands Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5116 18th Rd, Escanaba, MI 49829-9525 | 2018-09-17 |
| Find all providers with the same taxonomy | ||||
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| 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.