Good Faith Manor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AF630313888 Issued in MI

Legal business name

GOOD FAITH MANOR LLC

Practice address

18759 Greenwald Dr
Southfield, MI 48075-5868

Phone

(248) 632-3778

NPI assigned

Feb 27, 2013

Organization subpart

No

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

Authorized official

Name

Christine & Fredrick Hayes

Title

Owner

Phone

(248) 632-3778

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1538409685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18759 GREENWALD DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755868",
            "telephone_number": "248-632-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18759 GREENWALD DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480755868",
            "telephone_number": "248-632-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD FAITH MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CHRISTINE & FREDRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-632-3778"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AF630313888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A. Antonio Gonzalez-Prendes, PH.D.
• Alivia Gonzalez
• Fabiola Gonzalez
• Marlene Gonzalez
• Good Apple Consulting, LLC
• Good Health and Aging Well on Purpose Counseling and Coaching Center P
• Ella Good
• Sandra Ann Goodall, LLP
• Robert Lawrence Goode, DDS
• Jacqueline Venora Goodgame, LPN

• Assisted Living Facility in Southfield, MI
• Providers in Southfield, MI by specialty
• Assisted Living Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.