Farragut Home Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AM410245599 Issued in MI

Legal business name

FARRAGUT HOME CARE LLC

Practice address

1839 Farragut St SW
Wyoming, MI 49519-1734

Phone

(616) 291-4326

Fax

(616) 956-0441

NPI assigned

Feb 21, 2017

Organization subpart

No

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

Authorized official

Name

Tesie Quiton

Title

Afc Provider

Phone

(616) 291-4326

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1043759111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 S WHITMAN CT SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493017711",
            "telephone_number": "616-291-4326",
            "fax_number": "616-956-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 FARRAGUT ST SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495191734",
            "telephone_number": "616-291-4326",
            "fax_number": "616-956-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARRAGUT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "QUITON",
        "authorized_official_first_name": "TESIE",
        "authorized_official_title_or_position": "AFC PROVIDER",
        "authorized_official_telephone_number": "616-291-4326"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AM410245599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.