Organization Active NPI

Joyfulliving Adult Foster Care Home

  • Foster Care Agency
  • South Haven, MI
National Provider Identifier
1285180604
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
JOYFULLIVING ADULT FOSTER CARE HOME
Practice address
328 Edgell St
South Haven, MI 49090-1716
Phone
(269) 214-6750
NPI assigned
Aug 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Joyce L Peterson, MANAGERNPI 1043666167
Title
Owner
Phone
(269) 214-6750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X MI Primary

Addresses

Primary practice location

328 Edgell St
South Haven, MI 49090-1716

Mailing address

328 Edgell St
P.O. Box 291
South Haven, MI 49090-1716
Phone (269) 214-6750

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285180604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 EDGELL ST",
            "address_2": "P.O. BOX 291",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490901716",
            "telephone_number": "269-214-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 EDGELL ST",
            "city": "SOUTH HAVEN",
            "state": "MI",
            "postal_code": "490901716",
            "telephone_number": "269-214-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOYFULLIVING ADULT FOSTER CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-214-6750",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Haven, MI

Sources for this page

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