Red Oaks Afc LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AMO272455 Issued in MI

Legal business name

RED OAKS AFC LLC

Practice address

3597 Wheeler Rd
Bay City, MI 48706-1712

Phone

(989) 274-1391

Fax

(989) 316-2085

NPI assigned

Dec 6, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah E Stosik, RN

Title

Administrator

Phone

(989) 274-1391

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1053742734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3597 WHEELER RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487061712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3597 WHEELER RD",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487061712",
            "telephone_number": "989-274-1391",
            "fax_number": "989-316-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED OAKS AFC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "STOSIK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "989-274-1391",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AMO272455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Raymond
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• Elise Rechsteiner, RN
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• Valluru C Reddy, MD
• Jenessa Reder, MA, LPC
• Joyce Ann Reder, R.N.
• Emily Kate Redmond
• Ashley Reed, NURSE

• Adult Care Home Facility in Bay City, MI
• Providers in Bay City, 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 Dec 6, 2013; 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.