KENYATA'S AFC LLC NPI 1659854313

NPI Information

  • NPI: 1659854313
  • Provider Name: KENYATA'S AFC LLC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Address: 8136 SIRRON ST
    DETROIT, MI
    ZIP 48234
  • Phone: (313) 893-5022

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NPI Details

KENYATA'S AFC LLC is an adult care home custodial care facility in Detroit, 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. KENYATA'S AFC LLC NPI is 1659854313. The provider is registered as an organization entity type.

The provider's business location address is:

8136 SIRRON ST
DETROIT, MI
ZIP 48234-314
Phone: (313) 893-5022
Fax: (313) 733-6660

The provider's authorized official is Kenyata Hamilton-carter .
The authorized official title is Administrator and has the following contact phone number (313) 475-9947.

The enumeration date for this NPI number is 9/10/2018 and was last updated on 9/10/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AS820279800OTHERMICHIGANLARA

What is NPI?

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This page was last updated on: 3/30/2025

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