Haven Adult Foster Care LTD

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

HAVEN ADULT FOSTER CARE LTD

Practice address

73600 Church St
Armada, MI 48005-4749

Phone

(586) 784-8890

Fax

(586) 784-8894

NPI assigned

May 15, 2020

Last updated

Jan 20, 2023By 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

Charles P Cryderman

Title

Administrator

Phone

(586) 784-8890

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1376165076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73600 CHURCH ST",
            "city": "ARMADA",
            "state": "MI",
            "postal_code": "480054749",
            "telephone_number": "586-784-8890",
            "fax_number": "586-784-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73600 CHURCH ST",
            "city": "ARMADA",
            "state": "MI",
            "postal_code": "480054749",
            "telephone_number": "586-784-8890",
            "fax_number": "586-784-8894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72188 Russ Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "MI",
            "postal_code": "480624531",
            "country_code": "US",
            "telephone_number": "586-727-7650",
            "fax_number": "586-727-3442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAVEN ADULT FOSTER CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "CRYDERMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "586-784-8890"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "havenadultfostercare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "73600 Church St",
            "city": "Armada",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480054749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "havenadultfostercare.com",
            "affiliation": "N",
            "endpointDescription": "Haven Adult Foster Care Ltd. Ridgeway Home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "72188 Russ Rd",
            "city": "Richmond",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480624531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Adult Care Home Facility in Armada, MI
• Providers in Armada, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.