Ide Afc Home LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

IDE AFC HOME LLC

Practice address

2111 N Latson Rd
Howell, MI 48855-9750

Phone

(517) 897-1845

NPI assigned

Aug 23, 2023

Last updated

Aug 23, 2023By 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

Belinda Ide

Title

Owner

Phone

(517) 897-1845

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1053195610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 S GUNNELL RD",
            "city": "EATON RAPIDS",
            "state": "MI",
            "postal_code": "488279307",
            "telephone_number": "517-897-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 N LATSON RD",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488559750",
            "telephone_number": "517-897-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDE AFC HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "IDE",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-897-1845"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "bide@ideassistedliving.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2111 N Latson Rd",
            "city": "Howell",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488559750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Care Home Facility in Howell, MI
• Providers in Howell, 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 Aug 23, 2023; 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.