Boyd'S Adult Foster Care Home

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

AM250008164 Issued in MI

Legal business name

BOYD'S ADULT FOSTER CARE HOME

Practice address

306 W. Fourth Avenue
Flint, MI 48503

Phone

(810) 875-9633

Fax

(810) 875-9633

NPI assigned

Oct 10, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Lucille Lois Boyd

Title

Owner

Phone

(810) 875-9633

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Boyd's AFC Home Other name

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1306097191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 334",
            "city": "MT. MORRIS",
            "state": "MI",
            "postal_code": "48458",
            "telephone_number": "810-875-9633",
            "fax_number": "810-875-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W. FOURTH AVENUE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48503",
            "telephone_number": "810-875-9633",
            "fax_number": "810-875-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYD'S ADULT FOSTER CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_middle_name": "LOIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-875-9633",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AM250008164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AM250008164",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boyd's AFC Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kira Boxell
• Imari Shaniece Boxley
• Jamise Boxley
• Roslyn Boyce
• Martin Patrick Boyd
• Margaret Boye, MD
• Carol F Boyer, LLPC
• Lori Boyer, C.M.T.
• Wanda Boykin, LMSW04/26/1953
• BPS Rehabilitation Specialist PC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Flint, MI
• Providers in Flint, MI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.