Active NPI
Forever Friends Adult Day Center
- Adult Day Care Clinic/Center
- Garden City, MI
National Provider Identifier
1295384154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0189711 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.