NPIMap

Organization Active NPI

Porter Place Afc LLC

  • Adult Care Home Facility
  • Grand Blanc, MI
National Provider Identifier
1568946408
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
PORTER PLACE AFC LLC
Practice address
6191 Porter Rd
Grand Blanc, MI 48439-8540
Phone
(810) 603-1393
Fax
(810) 603-1394
NPI assigned
Sep 17, 2018
Last updated
Sep 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Authorized official

Name
Mr. Daniel BurnettNPI 1053824516
Title
Owner/Manager
Phone
(810) 603-1393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

6191 Porter Rd
Grand Blanc, MI 48439-8540

Mailing address

6191 Porter Rd
Grand Blanc, MI 48439-8540
Phone (810) 603-1393

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1568946408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6191 PORTER RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398540",
            "telephone_number": "810-603-1393",
            "fax_number": "810-603-1394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6191 PORTER RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398540",
            "telephone_number": "810-603-1393",
            "fax_number": "810-603-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTER PLACE AFC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "810-603-1393",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.