HAVEN ADULT FOSTER CARE LTD (NPI# 1376165076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376165076 |
| Entity Type | Organization |
| Organization Name | HAVEN ADULT FOSTER CARE LTD |
| Practice Address |
73600 Church St Armada MI 48005-4749 |
| Practice Telephone | 5867848890 |
| Practice Fax Number | 5867848894 |
| Mailing Telephone | 5867848890 |
| Mailing Fax Number | 5867848894 |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |
| Authorized Official Name | CHARLES P CRYDERMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 5867848890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | Agencies |
| Street Address |
73600 CHURCH ST |
| City | ARMADA |
| State | MI |
| Zip Code | 48005-4749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548880107 | Jacqueline Gellick | Speech-Language Pathologist | C/ Ribera 23 - 3 Izqda-dcha, Bilbao, VIZCAA 48005 | 2020-04-23 |
| 1568992006 | Linda Sue Pierce | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24436 Armada Ridge Rd, Armada, MI 48005 | 2017-06-18 |
| 1447424148 | Kurt William Hollweg | Dentist | 22905 W. Main St, Armada, MI 48005 | 2008-04-15 |
| 1700971157 | Deborah Lynn Saelens | Counselor | 23045 Main St, Armada, MI 48005 | 2006-10-03 |
| 1417246828 | Zeinth Begum Khan | Chiropractor | 23111 E Main St, Armada Chiropractic, Armada, MI 48005 | 2011-04-06 |
| 1841465358 | William Lewis Tucker | Dentist | 22905 W Main St, Armada, MI 48005-0905 | 2008-04-25 |
| 1023407863 | Cheryl Ann Spaulding | Social Worker | 18300 Pratt Rd, Armada, MI 48005-1150 | 2015-01-16 |
| 1891733820 | Armada Township | Ambulance | 23175 Armada Center Rd, Armada, MI 48005-2763 | 2006-06-03 |
| 1184738304 | Erica Ann Grunwald | Dentist | 22905 W Main St # 571, Armada, MI 48005-3225 | 2006-08-17 |
| 1013108554 | William L. Tucker, Dds, Plc | Clinic/Center | 22905 W Main St, Armada, MI 48005-3225 | 2007-08-08 |
| Find all providers in zip 48005 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474576 | Maryann Michelle Lavender | Foster Care Agency | 5633 Embassy St, Kalamazoo, MI 49009-6499 | 2020-10-13 |
| 1417560269 | Fountain of Love | Foster Care Agency | 2140 Dickerson St, Detroit, MI 48215-2640 | 2020-08-30 |
| 1104448018 | Jody Elizabeth Josephson | Foster Care Agency | 7415 Dexter Pinckney Rd, Dexter, MI 48130-7505 | 2020-05-13 |
| 1639701600 | Colonial Park Adult Assisted Living | Foster Care Agency | 1050 W Colonial Park Dr, Grand Ledge, MI 48837-2215 | 2020-02-07 |
| 1972135200 | Absolute Care LLC | Foster Care Agency | 5847 Naneva Ct, West Bloomfield, MI 48322-2517 | 2020-02-05 |
| 1699315556 | Reliance Manor LLC | Foster Care Agency | 35156 Ecorse Rd, Romulus, MI 48174-1640 | 2020-01-08 |
| 1215573217 | Byerly Enterprises, LLC | Foster Care Agency | 8616 Hidden Acre Ct, Clarkston, MI 48348-2895 | 2019-11-25 |
| 1235789553 | Dorthie Bolden | Foster Care Agency | 7027 Baseline Rd, South Haven, MI 49090-8338 | 2019-09-18 |
| 1457909509 | Sallie Mae Emert | Foster Care Agency | 2850 W Leinaar Rd, Delton, MI 49046-9567 | 2019-09-02 |
| 1366096638 | Balmoral Living LLC. | Foster Care Agency | 32741 Balmoral Knls, Farmington Hills, MI 48334-1608 | 2019-07-25 |
| 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.