Michigan Senior Care Living, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

MICHIGAN SENIOR CARE LIVING, LLC

Doing business as

Kozy Komfort AFC

Practice address

261 Beachfield Dr
Battle Creek, MI 49015-4641

Phone

(269) 964-4580

Fax

(877) 265-1856

NPI assigned

Mar 14, 2019

Last updated

Mar 14, 2019By 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

Ramchandra Mishra

Title

Owner

Phone

(269) 359-5606

Specialties & licenses 1

Addresses

Other names 1

• Kozy Komfort AFC Doing business as

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552521600000",
    "number": "1326507914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WOODROW CT",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490153151",
            "telephone_number": "269-359-5606",
            "fax_number": "877-265-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 BEACHFIELD DR",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154641",
            "telephone_number": "269-964-4580",
            "fax_number": "877-265-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN SENIOR CARE LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A",
        "authorized_official_last_name": "MISHRA",
        "authorized_official_first_name": "RAMCHANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-359-5606"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kozy Komfort AFC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Battle Creek, MI
• Providers in Battle Creek, MI by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.