NPIMap

Organization Active NPI

Agnus Dei Afc Home Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Allegan, MI
National Provider Identifier
1639453533
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
AS800287287 Issued in MI
Legal business name
AGNUS DEI AFC HOME INC.
Practice address
1307 42ND St
Allegan, MI 49010-8312
Phone
(269) 686-8212
NPI assigned
Oct 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Authorized official

Name
Mr. James M. Saintz
Title
Licensee
Phone
(269) 686-8212

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X AS800287287 MI Primary
Intellectual Disabilities Intermediate Care Facility 315P00000X AS030308931 MI

Addresses

Primary practice location

1307 42ND St
Allegan, MI 49010-8312

Mailing address

1307 42ND St
Allegan, MI 49010-8312
Phone (269) 686-8212

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1639453533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 42ND ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490108312",
            "telephone_number": "269-686-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 42ND ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "490108312",
            "telephone_number": "269-686-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGNUS DEI AFC HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "SAINTZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "269-686-8212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MI",
            "license": "AS800287287",
            "primary": true
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "MI",
            "license": "AS030308931",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allegan, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.