Organization Active NPI

Mayfield Adult Foster Care Home, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Flint, MI
National Provider Identifier
1003842444
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
MAYFIELD ADULT FOSTER CARE HOME, INC.
Practice address
1113 E Hemphill Rd
Flint, MI 48507-2835
Phone
(810) 742-7931
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Eric Scott McBean
Title
President
Phone
(810) 742-7931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MI Primary

Addresses

Primary practice location

1113 E Hemphill Rd
Flint, MI 48507-2835

Mailing address

1113 E Hemphill Rd
Flint, MI 48507-2835
Phone (810) 742-7931

Other names 1

  • Mayfield AFC Home, Inc. Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003842444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 E HEMPHILL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072835",
            "telephone_number": "810-742-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 E HEMPHILL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072835",
            "telephone_number": "810-742-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFIELD ADULT FOSTER CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCBEAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-742-7931",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayfield AFC Home, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.