Active NPI
Season'S of Life Afc Home, LLC
- Foster Care Agency
- Lake City, MI
National Provider Identifier
1083597033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- Legal business name
- SEASON'S OF LIFE AFC HOME, LLC
- Practice address
- 2033 W Moorestown Rd
Lake City, MI 49651-9343 - Phone
- (231) 229-4416
- NPI assigned
- Jul 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Kime
- Title
- President
- Phone
- (612) 382-7210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | Primary |
Addresses
Primary practice location
2033 W Moorestown Rd
Lake City, MI 49651-9343
Mailing address
1792 Finch Dr
Traverse City, MI 49685-9777
Phone (123) 827-2106
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foster Care Agency
- Lake City, MI
- NPI 1497156913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753660800000",
"number": "1083597033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1792 FINCH DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496859777",
"telephone_number": "123-827-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2033 W MOORESTOWN RD",
"city": "LAKE CITY",
"state": "MI",
"postal_code": "496519343",
"telephone_number": "231-229-4416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEASON'S OF LIFE AFC HOME, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-28",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A",
"authorized_official_last_name": "KIME",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "612-382-7210"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.