Long Acres Afc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AM110083631 Issued in MI

Legal business name

LONG ACRES AFC

Practice address

11793 N Red Bud TRL
Buchanan, MI 49107-9161

Phone

(269) 473-2156

NPI assigned

Oct 17, 2013

Last updated

Oct 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stan Saverus

Title

Owner

Phone

(269) 408-8547

Specialties & licenses 1

Addresses

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.

• Hagop P Ghazarian, DPM

  • Podiatrist
  • Mattawan, MI
  • NPI 1609820331
  NPD (past)

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1689002248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 ROSE DR",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491039510",
            "telephone_number": "269-408-8547",
            "fax_number": "269-471-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11793 N RED BUD TRL",
            "city": "BUCHANAN",
            "state": "MI",
            "postal_code": "491079161",
            "telephone_number": "269-473-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ACRES AFC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "SAVERUS",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-408-8547"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AM110083631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Kostyuk, FNP-BC
• Cori E Kretchman
• Lakeland Medical Practice (Lakeland Medical Practice Buchanan)
• Lakeland Medical Practices (Southwest Medical Clinic Buchanan)
• Leisure Living Management of Buchanan (Buchanan Meadows)
• David Paul Ludwig, ATC
• Luminous Minds LLC
• Venugopal Reddy Maheshwaram
• Charles Lee May
• Emmanuel Ndubuisi Mbah

• Adult Care Home Facility in Buchanan, MI
• Providers in Buchanan, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.