NPIMap

Organization Active NPI

Peachtree Afc, LLC

  • Home Health Agency
  • Flint, MI
National Provider Identifier
1659850105
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PEACHTREE AFC, LLC
Practice address
4137 W Court St Apt 4
Flint, MI 48532-3561
Phone
(810) 308-9932
NPI assigned
Aug 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Authorized official

Name
Metoia BurtNPI 1417435249
Title
Owner
Phone
(810) 308-9932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4137 W Court St Apt 4
Flint, MI 48532-3561

Mailing address

250 E Boulevard Dr Unit 13133
Flint, MI 48501-2569
Phone (810) 308-9932

Other names 1

  • PEACHTREE AFC, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

250 E Boulevard Dr
Unit 13133
Flint, MI 48501

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1659850105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E BOULEVARD DR UNIT 13133",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485012569",
            "telephone_number": "810-308-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4137 W COURT ST APT 4",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323561",
            "telephone_number": "810-308-9932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE AFC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "METOIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-308-9932"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEACHTREE AFC, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.