Organization Active NPI

Forever Friends Adult Day Center

  • Adult Day Care Clinic/Center
  • Garden City, MI
National Provider Identifier
1295384154
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
FOREVER FRIENDS ADULT DAY CENTER
Practice address
28050 Ford Rd
Garden City, MI 48135-2967
Phone
(734) 753-5444
NPI assigned
Sep 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Connie Louise Hubbard
Title
President/Owner
Phone
(313) 693-5486

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

28050 Ford Rd
Garden City, MI 48135-2967

Mailing address

8620 Kinmore St
Dearborn Heights, MI 48127-1269
Phone (313) 693-5486

Other identifiers 1

IdentifierTypeStateIssuer
0189711MedicaidMI

National Provider Directory

National Provider Directory

Locations

28050 Ford Rd
Garden City, MI 48135
Phone (734) 753-5444

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1295384154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8620 KINMORE ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271269",
            "telephone_number": "313-693-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28050 FORD RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352967",
            "telephone_number": "734-753-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER FRIENDS ADULT DAY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "313-693-5486"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0189711",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.