SEVENTY SIXTH STREET AFC LLC NPI 1962773408

NPI Information

  • NPI: 1962773408
  • Provider Name: SEVENTY SIXTH STREET AFC LLC
  • Classification: Respite Care - 385H00000X
  • Entity Type: Organization
  • Address: 3554 76TH ST SE
    CALEDONIA, MI
    ZIP 49316
  • Phone: (616) 698-6681

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NPI Details

SEVENTY SIXTH STREET AFC LLC is a respite care in Caledonia, MI. SEVENTY SIXTH STREET AFC LLC NPI is 1962773408. The provider is registered as an organization entity type.

The provider's business location address is:

3554 76TH ST SE
CALEDONIA, MI
ZIP 49316-113
Phone: (616) 698-6681
Fax: (616) 698-6681

The provider's authorized official is Debra Ann Krajewski .
The authorized official title is Owner and has the following contact phone number (616) 318-1961.

The enumeration date for this NPI number is 1/14/2012 and was last updated on 1/14/2012.

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
1385H00000XRespite CareAM410285883MICHIGANYes

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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