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GOLDEN YEARS ADULT FOSTER CARE NPI 1871829150


NPI Information

NPI: 1871829150
Provider Name: GOLDEN YEARS ADULT FOSTER CARE

Former Legal Business Name: SHAWS AFC

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
1885 OSSEO RD S
OSSEO, MI
ZIP 49266
Phone: (517) 523-4395
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GOLDEN YEARS ADULT FOSTER CARE is an adult care home custodial care facility in Osseo, 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. GOLDEN YEARS ADULT FOSTER CARE NPI is 1871829150. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Shaws Afc.

The provider's business location address is:

1885 OSSEO RD S
OSSEO, MI
ZIP 49266-643
Phone: (517) 523-4395
Fax: (517) 523-2748

The provider's authorized official is Jo Ann M Thompson .
The authorized official title is President and has the following contact phone number (517) 439-9478.

The enumeration date for this NPI number is 10/21/2009 and was last updated on 10/21/2009.


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 HomeAS300011089MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13616301MEDICAIDMICHIGAN
22214580MEDICAIDMICHIGAN

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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