Kirby's Adult Foster Care Services Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

AS180308851 Issued in MI

Legal business name

KIRBY'S ADULT FOSTER CARE SERVICES INC.

Practice address

2285 E Lily Lake Rd
Harrison, MI 48625-7447

Phone

(989) 539-7365

Fax

(989) 630-0276

NPI assigned

Dec 22, 2011

Last updated

Dec 22, 2011By 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

Michael James Kirby II

Title

Administrator

Phone

(989) 430-8061

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1376812164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 BIRCH ST",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486259056",
            "telephone_number": "989-430-8061",
            "fax_number": "989-630-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 E LILY LAKE RD",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486257447",
            "telephone_number": "989-539-7365",
            "fax_number": "989-630-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY'S ADULT FOSTER CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-22",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "KIRBY II",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "989-430-8061"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MI",
            "license": "AS180308851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Harrison, MI
• Providers in Harrison, MI by specialty
• Point of Service in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; 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.