A Place Called Home in Stevensville LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

A PLACE CALLED HOME IN STEVENSVILLE LLC

Doing business as

A Place Called Home

Practice address

4167 N Roosevelt Rd
Stevensville, MI 49127-9119

Phone

(269) 281-0357

Fax

(269) 281-0932

NPI assigned

Mar 30, 2021

Organization subpart

No

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

Authorized official

Name

Meagan Nicole Frye

Title

Owner/Administrator/Licensee

Phone

(269) 876-6523

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• A Place Called Home Doing business as

Locations

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1184202319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4167 N ROOSEVELT RD",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491279119",
            "telephone_number": "269-281-0357",
            "fax_number": "269-281-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4167 N ROOSEVELT RD",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491279119",
            "telephone_number": "269-281-0357",
            "fax_number": "269-281-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PLACE CALLED HOME IN STEVENSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "MEAGAN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR/LICENSEE",
        "authorized_official_telephone_number": "269-876-6523"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT FOSTER CARE LICENSE NUMBER",
            "identifier": "AL110405928",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Place Called Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher T Alphenaar, LPC, LLP. CAADC
• Christiana Danielle Atkins, LLPC
• Kristen Kaye Bachman, COTA
• Andrew R. Bargren, DDS
• Luz Lim Bargren, DDS

• Adult Care Home Facility in Stevensville, MI
• Providers in Stevensville, 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 Mar 30, 2021; 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.