Kalkidan Afc Corp.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

KALKIDAN AFC CORP.

Practice address

4464 Hickorywood Dr
Okemos, MI 48864-3076

Phone

(517) 402-6191

Fax

(517) 721-1859

NPI assigned

Feb 21, 2017

Last updated

Feb 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Elsabeth EngedaNPI 1922544402

Title

Manager

Phone

(517) 402-6191

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elsabeth Engeda

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Okemos, MI
  • NPI 1922544402
  NPD (past) Authorized official

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": "1043759251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4464 HICKORYWOOD DR",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643076",
            "telephone_number": "517-402-6191",
            "fax_number": "517-721-1859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4464 HICKORYWOOD DR",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488643076",
            "telephone_number": "517-402-6191",
            "fax_number": "517-721-1859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALKIDAN AFC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "ENGEDA",
        "authorized_official_first_name": "ELSABETH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "517-402-6191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Aimee Kachinosky, CCC-SLP
• Pranav Kalary
• John J. Kalbfell Sr., D.D.S.
• Sandy Kalek
• Joseph H Kalikow, PHD
• Taylor Rose Kammer, BEHAVIOR TECHNICIAN
• Anastassiya Kan
• Muhammad Awais Kang, D.O
• Erin Kanitz, MA, CCC-SLP
• Shubhra Kannan

• Adult Care Home Facility in Okemos, MI
• Providers in Okemos, MI by specialty
• Adult Care Home Facility in Michigan

• 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.