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FANNVIEW AFC LLC NPI 1053850776


NPI Information

NPI: 1053850776
Provider Name: FANNVIEW AFC LLC
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
1948 MILLBANK ST SE
GRAND RAPIDS, MI
ZIP 49508
Phone: (616) 350-9124
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FANNVIEW AFC LLC is an adult care home custodial care facility in Grand Rapids, MI. The provider is 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. FANNVIEW AFC LLC NPI is 1053850776. The provider is registered as an organization entity type.

The provider's business location address is:

1948 MILLBANK ST SE
GRAND RAPIDS, MI
ZIP 49508-673
Phone: (616) 350-9124

The provider's authorized official is Nadine Carlson .
The authorized official title is Owner and has the following contact phone number (248) 342-2698.

The enumeration date for this NPI number is 2/14/2017 and was last updated on 2/14/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeAS410317479MICHIGANYes
2385H00000XRespite CareAS410317479MICHIGANNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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