Silver Sparrow Afc Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AF410287362 Issued in MI

Legal business name

SILVER SPARROW AFC HOME

Practice address

1316 Elliott St SE
Grand Rapids, MI 49507-2851

Phone

(616) 881-5898

NPI assigned

Feb 24, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Laura Jo Alexander

Title

Sole Proprietor and Afc Provider

Phone

(616) 881-5898

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1548700545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 ELLIOTT ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495072851",
            "telephone_number": "616-881-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 ELLIOTT ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495072851",
            "telephone_number": "616-881-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER SPARROW AFC HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "SOLE PROPRIETOR AND AFC PROVIDER",
        "authorized_official_telephone_number": "616-881-5898",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AF410287362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Silas Zachary Silguero, LMSW
• Maria Carolina Silva
• Shawn Lee Silva
• Silver Birch Psychiatry Services PLLC
• Silver Birch Psychological Services, PLLC
• Chloe Anne Silver
• Matthew David Silver, MPT
• Lora Zoe Silverman, MD
• Makayleigh Silverman, PT, DPT
• Michele Rose Silvernail, LMSW

• Adult Care Home Facility in Grand Rapids, MI
• Providers in Grand Rapids, 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 Feb 24, 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.