Martinez Afc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MARTINEZ AFC

Practice address

3749 Orchard Rd
Peck, MI 48466-9722

Phone

(810) 837-5280

NPI assigned

Apr 18, 2022

Last updated

Apr 18, 2022By 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

Jodi Martinez

Title

Owner

Phone

(810) 583-5280

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1083357164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3749 ORCHARD RD",
            "city": "PECK",
            "state": "MI",
            "postal_code": "484669722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3749 ORCHARD RD",
            "city": "PECK",
            "state": "MI",
            "postal_code": "484669722",
            "telephone_number": "810-837-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEZ AFC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-583-5280"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Lakes Healthcare, PLLC
• Cole Hamblin, PHARMD
• Stephanie A Hebberd, FNP-BC
• Jodie Jones, LLMSW
• Candace Kidd
• McKenzie Memorial Hospital (Peck Medical Center)
• Dawn Kelly Richardson
• Leslie Vogel, OTRL
• Kaylee Wagester

• In Home Supportive Care Agency in Peck, MI
• Providers in Peck, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.