The Avenue Family Network, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

THE AVENUE FAMILY NETWORK, INC.

Practice address

2450 M 139
Benton Harbor, MI 49022-6445

Phone

(269) 925-1725

Fax

(269) 925-1730

NPI assigned

Oct 18, 2013

Last updated

Apr 21, 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

Mr. Joseph K. Goepfrich

Title

Executive Director

Phone

(269) 925-1725

Specialties & licenses 2

Addresses

Locations

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.

• Hagop P Ghazarian, DPM

  • Podiatrist
  • Mattawan, MI
  • NPI 1609820331
  NPD (past)

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1083042501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8789",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "49023",
            "telephone_number": "269-925-1725",
            "fax_number": "269-925-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 M 139",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490226445",
            "telephone_number": "269-925-1725",
            "fax_number": "269-925-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AVENUE FAMILY NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "GOEPFRICH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "269-925-1725",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Taylor, LBSW
• Karla Tennant
• Michael Terlecki
• Giselle Tetelepta
• Grace A Teuling
• The Center for Growth and Independence
• The Neon Movement Wellness Center LLC
• The Samaritan Counseling Center of Southwestern Michigan (Centered on Wellness)
• The Samaritan Counseling Center of Southwestern Michigan (Centered on Wellness)
• Nicholas Thielmann, LLMSW

• Adult Day Care Clinic/Center in Benton Harbor, MI
• Providers in Benton Harbor, MI by specialty
• Adult Day Care Clinic/Center in Michigan

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