Culver Meadows Afc, Inc.

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

AL280291584 Issued in MI

Legal business name

CULVER MEADOWS AFC, INC.

Practice address

5840 Culver Rd.
Traverse City, MI 49685-8666

Phone

(231) 633-5840

Fax

(231) 943-8247

NPI assigned

Feb 2, 2015

Last updated

Feb 2, 2015By 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

Trina Jewett

Title

President

Phone

(231) 633-5840

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1295125045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 N. WEST SILVER LAKE RD.",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "49684",
            "telephone_number": "231-633-5840",
            "fax_number": "231-943-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5840 CULVER RD.",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496858666",
            "telephone_number": "231-633-5840",
            "fax_number": "231-943-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULVER MEADOWS AFC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "JEWETT",
        "authorized_official_first_name": "TRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "231-633-5840"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": "AL280291584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foster Care Agency in Traverse City, MI
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• Foster Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.