Kleck Afc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

AF410284007 Issued in MI

Legal business name

KLECK AFC

Practice address

631 3 Mile Rd NE
Grand Rapids, MI 49505-3362

Phone

(616) 719-0620

NPI assigned

Feb 14, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Connalee Kleck

Title

Foster Mother

Phone

(616) 719-0620

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487030400000",
    "number": "1447799259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 3 MILE RD NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053362",
            "telephone_number": "616-719-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 3 MILE RD NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495053362",
            "telephone_number": "616-719-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLECK AFC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-14",
        "last_updated": "2017-02-14",
        "status": "A",
        "authorized_official_last_name": "KLECK",
        "authorized_official_first_name": "CONNALEE",
        "authorized_official_title_or_position": "FOSTER MOTHER",
        "authorized_official_telephone_number": "616-719-0620",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AF410284007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Klear Counseling PLLC
• Klear Counseling PLLC
• Michelle Louise Klear, MS. LLPC
• Kathryn Kleaveland, M.D.
• Gracie Diane Klebba
• Alan Edwin Klee, NP
• Shirley Ann Kleiman, DPT ICS MDT
• Steven William Kleiman, DC
• Angelena Klein
• Diane Kay Klein, COTA

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.