Obedi Family Afc LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

OBEDI FAMILY AFC LLC

Practice address

3036 Perry Ave SW
Wyoming, MI 49519-2531

Phone

(616) 540-3193

NPI assigned

Dec 13, 2024

Organization subpart

No

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

Authorized official

Name

Claude Ndahiriwe Ruvugwa, DIPLOMA

Title

Owner

Phone

(616) 540-3193

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1734048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1558178590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 PERRY AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495192531",
            "telephone_number": "616-540-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 PERRY AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495192531",
            "telephone_number": "616-540-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBEDI FAMILY AFC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-13",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "RUVUGWA",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "NDAHIRIWE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-540-3193",
        "authorized_official_credential": "DIPLOMA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric D O'Brien, D.C.
• Jerry V O'Brien, DO
• James O'Grady, DPT
• Margaret Maureen O'Hara, NP
• Emiley Nichole O'Pry, DO
• Nicole L Oberholtzer, PT, DPT
• Samantha Obetts
• Arianna Ochsenrider
• Anya Odabasic, DO
• Joan Ogemaw, FSBD, CBD

• Adult Care Home Facility in Wyoming, MI
• Providers in Wyoming, 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 Dec 13, 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.