EVERGREEN MEADOW AFC NPI 1730616509

NPI Information

  • NPI: 1730616509
  • Provider Name: EVERGREEN MEADOW AFC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Address: 1944 BUTTRICK AVE SE
    ADA, MI
    ZIP 49301
  • Phone: (616) 682-0848

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NPI Details

EVERGREEN MEADOW AFC is an adult care home custodial care facility in Ada, 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. EVERGREEN MEADOW AFC NPI is 1730616509. The provider is registered as an organization entity type.

The provider's business location address is:

1944 BUTTRICK AVE SE
ADA, MI
ZIP 49301-204
Phone: (616) 682-0848

The provider's authorized official is Daniel Patrick Erdman .
The authorized official title is Afc Operator/owner and has the following contact phone number (616) 682-0848.

The enumeration date for this NPI number is 5/11/2017 and was last updated on 5/11/2017.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeAF410255092MICHIGANYes

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: 11/21/2025

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