Organization Active NPI

Koni'S Afc Home

  • Assisted Living Facility (Mental Illness)
  • Pontiac, MI
National Provider Identifier
1033095237
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
KONI'S AFC HOME
Practice address
369 Voorheis St
Pontiac, MI 48341-1949
Phone
(248) 396-2973
NPI assigned
Aug 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Roza Tesfaye
Title
Manager
Phone
(248) 396-2973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

369 Voorheis St
Pontiac, MI 48341-1949

Mailing address

369 Voorheis St
Pontiac, MI 48341-1949

National Provider Directory

National Provider Directory

Locations

369 Voorheis St
Pontiac, MI 48341
Phone (248) 396-2973

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1033095237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 VOORHEIS ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 VOORHEIS ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411949",
            "telephone_number": "248-396-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONI'S AFC HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "TESFAYE",
        "authorized_official_first_name": "ROZA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "248-396-2973"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.