WEST SHORE HOMES AFC, LLC (NPI# 1558801118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558801118 |
| Entity Type | Organization |
| Organization Name | WEST SHORE HOMES AFC, LLC |
| Practice Address |
2651 Leaf Ln Grawn MI 49637-9605 |
| Mailing Address |
2651 Leaf Ln Po Box 128 Grawn MI 49637-9605 |
| Practice Telephone | 2312769795 |
| Practice Fax Number | 2312768038 |
| Mailing Telephone | 2312769795 |
| Mailing Fax Number | 2312768038 |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |
| Authorized Official Name | RANDY SCHOLTUS (ADMINISTRATOR/ LICENSE DESIGNEE) |
| Authorized Official Telephone | 2312769795 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
AL280312738 | MI | Nursing & Custodial Care Facilities |
| Street Address |
2651 LEAF LN |
| City | GRAWN |
| State | MI |
| Zip Code | 49637-9605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528147519 | Glen Arbor Township | Ambulance | 6401 West State St, Glen Arbor, MI 49637 | 2006-11-02 |
| 1447339411 | Township of Blair | Ambulance | 2121 Co Rd 633, Grawn, MI 49637-9406 | 2006-11-02 |
| 1407058928 | Cutting Edge Eyewear | Eyewear Supplier (Equipment, not the service) | 1525 County Road 633, Suite B, Grawn, MI 49637-9450 | 2007-06-05 |
| 1578065603 | Ashley Curtis Tarras | Occupational Therapist | 6155 Jeffrey Pl, Grawn, MI 49637-9557 | 2018-03-05 |
| 1669968129 | Lake Shore Afc, LLC | Assisted Living Facility | 2480 Tonawanda Lake Rd, Grawn, MI 49637-9615 | 2018-07-09 |
| 1902076581 | Great Lakes Medical Transport | Secured Medical Transport (VAN) | 2600 Tonawanda Lake Rd, Grawn, MI 49637-9616 | 2008-03-10 |
| 1043315492 | Deborah Warren | Family Medicine | 6176 Us Highway 31, Grawn, MI 49637-9620 | 2006-09-13 |
| 1871736710 | Health At Its Best, Pllc | Family Medicine | 6176 Us Highway 31, Grawn, MI 49637-9620 | 2009-04-08 |
| 1518279512 | Joan Elizabeth Metropoulos | Physical Therapy Assistant | 2351 Sadie Ln, Grawn, MI 49637-9694 | 2010-07-07 |
| 1043755135 | Adam Devaney | Social Worker | 1488 Mcgregor Way, Grawn, MI 49637-9697 | 2016-12-27 |
| Find all providers in zip 49637 | ||||
| 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] |
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| 1306452917 | Caring Hearts Afc | Custodial Care Facility | 1029 Westmoreland Ave, Kalamazoo, MI 49006-5567 | 2020-09-18 |
| 1790397594 | St. Ruth's House of Hope LLC | Custodial Care Facility | 3100 S Electric St, Detroit, MI 48217-1133 | 2020-08-21 |
| 1497364442 | Bolton Brook Manor | Custodial Care Facility | 4554 Thomas Rd, Metamora, MI 48455-9220 | 2020-07-27 |
| 1578171104 | Dream Housing Opportunities LLC | Custodial Care Facility | 304 Wetmore St, Howell, MI 48843-1559 | 2020-07-20 |
| 1194343046 | Creekside Place, Inc. | Custodial Care Facility | 7251 N Briarcliff Knoll Dr, West Bloomfield, MI 48322-4049 | 2020-07-08 |
| 1174140420 | Linda Perrault | Custodial Care Facility | 1551 S Hickory Ridge Rd, Milford, MI 48380-1519 | 2020-07-02 |
| 1063039923 | Visel Afc, Inc. | Custodial Care Facility | 6565 Whitneyville Ave Se, Alto, MI 49302-9027 | 2020-06-26 |
| 1982226775 | August Winter House, Inc. | Custodial Care Facility | 2111 N Latson Rd, Howell, MI 48855-9750 | 2020-05-14 |
| 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.