My Angel Adult Foster Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AM730373246 Issued in MI

Legal business name

MY ANGEL ADULT FOSTER CARE, LLC

Practice address

3561 S Washington Rd
Saginaw, MI 48601-4961

Phone

(989) 401-8598

Fax

(989) 393-6085

NPI assigned

Dec 22, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Deidrea Sanders

Title

Licensee/Administrator

Phone

(989) 401-8598

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1538604830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3561 S WASHINGTON RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486014961",
            "telephone_number": "989-401-8598",
            "fax_number": "989-393-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3561 S WASHINGTON RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486014961",
            "telephone_number": "989-401-8598",
            "fax_number": "989-393-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY ANGEL ADULT FOSTER CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "DEIDREA",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "989-401-8598",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MI",
            "license": "AM730373246",
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MI",
            "license": "AM730373246",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Mutete
• Linda Lou Mutzelburg
• Deanna Kay Muz, LPN
• Hareem Muzaffar
• Huma Muzaffar, M.D
• Janelle Myers
• Nanette Davies Myers, DO
• Brielle' Destinee' Myles-Williams
• Tanisha Myles
• Tyesha Myles

• Assisted Living Facility in Saginaw, MI
• Providers in Saginaw, 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 Dec 22, 2016; 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.