Ferny Afc Home LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

FERNY AFC HOME LLC

Practice address

1564 N M 63
Benton Harbor, MI 49022-2759

Phone

(269) 449-5400

Fax

(269) 999-1030

NPI assigned

Oct 16, 2013

Organization subpart

No

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

Authorized official

Name

Timothy RantzNPI 1326675950

Title

Licensee Designee

Phone

(269) 449-5400

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Alan Rantz

  • Adult Care Home Facility
  • Benton Harbor, MI
  • NPI 1326675950
  NPD Authorized official

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1457789141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 N M 63",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490222759",
            "telephone_number": "269-449-5400",
            "fax_number": "269-999-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 N M 63",
            "city": "BENTON HARBOR",
            "state": "MI",
            "postal_code": "490222759",
            "telephone_number": "269-449-5400",
            "fax_number": "269-999-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNY AFC HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "RANTZ",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "LICENSEE DESIGNEE",
        "authorized_official_telephone_number": "269-449-5400"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Falkiewicz
• Kelly Nicole Famuliner, MSW
• Yazan Farhan
• Zelda Felix-Mottley
• Amber Kay Fergison
• Rose A Ferrell
• Tristan William Ficks
• Deidre Fields
• Madelynn Kay Fietzek
• Lisa M Fink, MD

• Adult Care Home Facility in Benton Harbor, MI
• Providers in Benton Harbor, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.