Organization Active NPI

Faith Adult Foster Care Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Detroit, MI
National Provider Identifier
1376625848
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
FAITH ADULT FOSTER CARE INC.
Practice address
16217 Asbury Park
Detroit, MI 48235-3656
Phone
(313) 272-3824
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lydia Hodge
Title
Excutive Administrator
Phone
(313) 539-0003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MI Primary

Addresses

Primary practice location

16217 Asbury Park
Detroit, MI 48235-3656

Mailing address

30440 Old Stream St
Southfield, MI 48076-1098
Phone (313) 539-0003

National Provider Directory

National Provider Directory
Tax ID family
Faith Adult Foster Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376625848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30440 OLD STREAM ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761098",
            "telephone_number": "313-539-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16217 ASBURY PARK",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353656",
            "telephone_number": "313-272-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH ADULT FOSTER CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "EXCUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "313-539-0003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.