Organization Active NPI

Faith Afc Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Southfield, MI
National Provider Identifier
1386947299
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
AS820238444 Issued in MI
Legal business name
FAITH AFC INC
Practice address
30440 Old Stream St
Southfield, MI 48076-1098
Phone
(248) 433-1261
NPI assigned
Dec 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
Mrs. Nikeisha Brown
Title
Administrtor
Phone
(313) 529-8808

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X AS820238444 MI Primary
Physical Disabilities Residential Treatment Facility 320700000X AS8202384444 MI

Addresses

Primary practice location

30440 Old Stream St
Southfield, MI 48076-1098

Mailing address

PO Box 273
Southfield, MI 48037-0273
Phone (248) 433-1261

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": "1292371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1386947299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 273",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480370273",
            "telephone_number": "248-433-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30440 OLD STREAM ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761098",
            "telephone_number": "248-433-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH AFC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-15",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NIKEISHA",
        "authorized_official_title_or_position": "ADMINISTRTOR",
        "authorized_official_telephone_number": "313-529-8808",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS820238444",
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MI",
            "license": "AS8202384444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.