AGNUS DEI AFC HOME INC. (NPI# 1639453533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639453533 |
| Entity Type | Organization |
| Organization Name | AGNUS DEI AFC HOME INC. |
| Practice Address |
1307 42nd St Allegan MI 49010-8312 |
| Practice Telephone | 2696868212 |
| Mailing Telephone | 2696868212 |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |
| Authorized Official Name | MR. JAMES M. SAINTZ (LICENSEE) |
| Authorized Official Telephone | 2696868212 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 315P00000X | Intermediate Care Facility, Mentally Retarded | AS030308931 | MI | Nursing & Custodial Care Facilities |
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | AS800287287 | MI | Nursing & Custodial Care Facilities |
| Street Address |
1307 42ND ST |
| City | ALLEGAN |
| State | MI |
| Zip Code | 49010-8312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295384832 | Rachel Wychers | Counselor | 329 Water St, Allegan, MI 49010 | 2019-09-06 |
| 1073968277 | Brandy Sue Salters | Social Worker | 631 Highpoint Dr, Apt 12, Allegan, MI 49010 | 2016-04-26 |
| 1306223359 | John Eagle Jr. | Social Worker | 3283 122nd Ave., Allegan, MI 49010 | 2015-04-29 |
| 1780017061 | Pmc Medical Associates, PC | Preventive Medicine | 325 Eastern Avenue, Allegan, MI 49010 | 2013-08-09 |
| 1629303680 | Assisted Residential Services | Behavioral Analyst | 845 Stern St, Allegan, MI 49010 | 2009-10-08 |
| 1710109335 | Christopher Michael Childers | Dietitian, Registered | 555 Linn Street, Allegan, MI 49010 | 2007-05-03 |
| 1205972916 | David Joseph Seifferly | Dentist | 425 Cutler Str, Allegan, MI 49010 | 2007-01-29 |
| 1194780304 | Mona Esse Ruse | Chiropractor | 279 Thomas Street, Allegan, MI 49010 | 2006-04-19 |
| 1316928161 | Timothy Dickinson | Family Medicine | 551 Linn Street, Allegan, MI 49010 | 2005-11-09 |
| 1144720186 | Caitlin Mark | Occupational Therapist | 3265 122nd Ave, Allegan, MI 49010 | 2018-02-16 |
| Find all providers in zip 49010 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841753407 | Sheri L Germane | Intermediate Care Facility, Mentally Retarded | 634 Hickory St, Milford, MI 48381-1651 | 2019-04-10 |
| 1225527195 | Tina Marie Graves | Intermediate Care Facility, Mentally Retarded | 16065 Fish Lake Rd, Holly, MI 48442 | 2018-05-07 |
| 1780112383 | Colene A. Snowden | Intermediate Care Facility, Mentally Retarded | 18331 Tipsico Lake Rd, Fenton, MI 48430-8554 | 2017-05-25 |
| 1346622867 | Restart Veterans Foster Home Care LLC | Intermediate Care Facility, Mentally Retarded | 2105 Lakeview Dr, Suite # 135, Ypsilanti, MI 48198-6754 | 2015-06-20 |
| 1922442607 | Brianna's Home | Intermediate Care Facility, Mentally Retarded | 16131 Linwood St, Detroit, MI 48221-3122 | 2013-04-24 |
| 1053533554 | New Outlook, Inc. | Intermediate Care Facility, Mentally Retarded | 27586 Schoolcraft Rd., Livonia, MI 48150 | 2007-05-03 |
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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.