Northcrossing Afc LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AL410286129 Issued in MI

Legal business name

NORTHCROSSING AFC LLC

Practice address

14024 7 Mile Rd NE
296
Belding, MI 48809-9624

Phone

(616) 794-1274

NPI assigned

Feb 28, 2017

Organization subpart

No

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

Authorized official

Name

Debra Krajewski

Title

Licensee/Designee

Phone

(616) 318-1961

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1669912440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6026 KALAMAZOO AVE SE",
            "address_2": "STE 296",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14024 7 MILE RD NE",
            "address_2": "296",
            "city": "BELDING",
            "state": "MI",
            "postal_code": "488099624",
            "telephone_number": "616-794-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHCROSSING AFC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "KRAJEWSKI",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "LICENSEE/DESIGNEE",
        "authorized_official_telephone_number": "616-318-1961"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AL410286129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew D Cooper DDS PC
• Bradley Raymond McCoy, DDS
• Angela Christi Miller
• Mission Point of Belding LLC
• Danielle Lynn Morris, PTA
• Margaret Oatmen
• Kimberly Patrick
• Daniel R Pear, FNP
• Allison Plakmeyer
• Teri Price, RN

• All providers in Belding, MI
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.