Active NPI
Kekelis Afc Inc
- Intellectual Disabilities Intermediate Care Facility
- Lansing, MI
National Provider Identifier
1679396733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- KEKELIS AFC INC
- Practice address
- 731 Louisa St
Lansing, MI 48911-5144 - Phone
- (517) 980-1925
- NPI assigned
- Nov 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anna Masambaji
- Title
- Director
- Phone
- (517) 980-1925
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Primary |
Addresses
Primary practice location
731 Louisa St
Lansing, MI 48911-5144
Mailing address
PO Box 26243
Lansing, MI 48909-6243
Other practice location 1
4106 Bridgeport Dr
Lansing, MI 48911-4305
Phone (517) 408-0027
Other practice location 2
2940 Quincy Ln
Lansing, MI 48910-2557
Phone (517) 993-6776
Other practice location 3
2511 Fairfax Rd
Lansing, MI 48910-8726
Phone (517) 230-1456
Other practice location 4
4041 Rivershell Ln
Lansing, MI 48911-1906
Phone (517) 980-1925
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730851200000",
"number": "1679396733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26243",
"city": "LANSING",
"state": "MI",
"postal_code": "489096243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 LOUISA ST",
"city": "LANSING",
"state": "MI",
"postal_code": "489115144",
"telephone_number": "517-980-1925"
}
],
"practiceLocations": [
{
"address_1": "4106 Bridgeport Dr",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489114305",
"country_code": "US",
"telephone_number": "517-408-0027",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2940 Quincy Ln",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489102557",
"country_code": "US",
"telephone_number": "517-993-6776",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2511 Fairfax Rd",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489108726",
"country_code": "US",
"telephone_number": "517-230-1456",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4041 Rivershell Ln",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489111906",
"country_code": "US",
"telephone_number": "517-980-1925",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "KEKELIS AFC INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-06",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A",
"authorized_official_last_name": "MASAMBAJI",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "517-980-1925"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.