Friendly Acres LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AF560085646 Issued in MI

Legal business name

FRIENDLY ACRES LLC

Practice address

5710 Isabella County Line Rd
Coleman, MI 48618-9394

Phone

(989) 621-7366

NPI assigned

Oct 21, 2013

Last updated

Oct 21, 2013By 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

Marilyn L Wilkie

Title

Owner

Phone

(989) 621-7366

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1174951644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 ISABELLA COUNTY LINE RD",
            "city": "COLEMAN",
            "state": "MI",
            "postal_code": "486189394",
            "telephone_number": "989-621-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 ISABELLA COUNTY LINE RD",
            "city": "COLEMAN",
            "state": "MI",
            "postal_code": "486189394",
            "telephone_number": "989-621-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY ACRES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "WILKIE",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "989-621-7366"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AF560085646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6699030",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Chick
• Coleman Family Pharmacy, Inc. (Coleman Family Pharmacy)
• Kyle D Devrieze, LPT
• Family Medicine Associates of Midland, P.C.
• David Foor
• Glci
• Great Lakes in-Home Healthcare
• Healing Hideaway
• Healthstat Inc Huhtamaki-Michigan
• Connie Jean Henze, MA, CADC-M

• Adult Care Home Facility in Coleman, MI
• Providers in Coleman, 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 Oct 21, 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.