Gross Adult Foster Care Inc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AL250255297 Issued in MI

Legal business name

GROSS ADULT FOSTER CARE INC

Practice address

5286 E Vienna Rd
Clio, MI 48420-9770

Phone

(810) 691-1459

Fax

(810) 687-2596

NPI assigned

Mar 30, 2012

Last updated

Mar 30, 2012By 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

Cheria Gross

Title

Administrator

Phone

(810) 691-1459

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1447526769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1267 E FARRAND RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484209137",
            "telephone_number": "810-691-1459",
            "fax_number": "810-687-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5286 E VIENNA RD",
            "city": "CLIO",
            "state": "MI",
            "postal_code": "484209770",
            "telephone_number": "810-691-1459",
            "fax_number": "810-687-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROSS ADULT FOSTER CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "GROSS",
        "authorized_official_first_name": "CHERIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "810-691-1459"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AL250255297",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS250278254",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Clio, MI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.