ADVANCED ADULT FOSTER CARE, INC. (NPI# 1790143279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790143279 |
Entity Type | Organization |
Organization Name | ADVANCED ADULT FOSTER CARE, INC. |
Practice Address |
202 Corwin Meadows Dr Lawrence MI 49064-9548 |
Mailing Address |
Po Box 371 Paw Paw MI 49079-0371 |
Practice Telephone | 2696743051 |
Practice Fax Number | 2696743051 |
Mailing Telephone | 2696743051 |
Mailing Fax Number | 2696743051 |
Enumeration Date | 2016-01-29 |
Last Update Date | 2016-01-29 |
Authorized Official Name | MR. ROBERT WAYNE MINIAT (PRESIDENT) |
Authorized Official Telephone | 2697609692 |
Authorized Official Credential | MI, DD |
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 | AS800315037 | MI | Residential Treatment Facilities |
Street Address |
202 CORWIN MEADOWS DR |
City | LAWRENCE |
State | MI |
Zip Code | 49064-9548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003233974 | Maria Giese | Occupational Therapist | 49654 C.r. 681, Lawrence, MI 49064 | 2014-03-27 |
1104257047 | Kali Edwards | Chiropractor | 46980 48th Ave, Lawrence, MI 49064 | 2013-12-03 |
1962697839 | Sandra Kay Thompson | Psychologist | 430 Bengor Road, Lawrence, MI 49064 | 2007-09-13 |
1043405293 | Kristen Louise Roy | Psychologist | 430 Bangor Road, Lawrence, MI 49064 | 2007-09-11 |
1487849410 | Jane Anne Starr | Registered Nurse | 430 Bangor Road, Lawrence, MI 49064 | 2007-09-12 |
1528516267 | Guritz Houser Afc Home | Foster Care Agency | 124 S 2nd St, Lawrence, MI 49064-8614 | 2016-09-12 |
1902292642 | Tonya Stainbrook-hammond | Technician, Other | 50488 County Road 673, Lawrence, MI 49064-9022 | 2015-04-09 |
1255850897 | Tommie Adkins | Chore Provider | 130 N Paw Paw St, Lawrence, MI 49064-9334 | 2017-09-14 |
1497395727 | Alternative Home Care LLC | Home Health | 130 N Paw Paw St, Lawrence, MI 49064-9334 | 2020-01-15 |
1649665035 | Elaine Bloom | Technician, Other | 50257 50th St, Lawrence, MI 49064-9436 | 2015-04-01 |
Find all providers in zip 49064 |
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 |
---|---|---|---|---|
1407334386 | Glorious Health Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1703 Lawrenceville Rd Apt 3, Lawrence, NJ 08648-2951 | 2018-08-01 |
1194247858 | Rising Phoenix Community Living, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1414 W 6th St Ste 101, Lawrence, KS 66044-2266 | 2017-07-13 |
1558570549 | Residential Alternatives, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2204 Crossgate Dr, Lawrence, KS 66047-3515 | 2007-05-22 |
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 |
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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.