Carson Afc, Inc.

Primary specialty

Respite CareTaxonomy code 385H00000X

License

AM820009843 Issued in MI

Legal business name

CARSON AFC, INC.

Practice address

19384 James Couzens Fwy
Detroit, MI 48235-1961

Phone

(313) 863-7050

NPI assigned

Aug 17, 2009

Last updated

Aug 17, 2009By 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

Johnny Carson

Title

Ceo

Phone

31386370510

Specialties & licenses 1

Addresses

Tax ID family

Carson Adult Foster Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carson Adult Foster Care, Inc.

  • Contractor
  • Detroit, MI
  • NPI 1619059573
  NPD tax ID

Locations

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1710119375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19384 JAMES COUZENS",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48235",
            "telephone_number": "313-863-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19384 JAMES COUZENS FWY",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482351961",
            "telephone_number": "313-863-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON AFC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "31386370510"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MI",
            "license": "AM820009843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fiona G Carroll, M.D.
• Lachelle Sophia Carroll, REGISTER NURSE
• Lauren Carroll, MD
• Robyn T Carroll, LLPC
• Carson Adult Foster Care, Inc.
• Lashawntelle Latrice Carson-Pops, LLMSW
• John H Carson, DDS
• Marilyn D Carson
• Raeshell Joye Carson, PA
• Richard Carson

• Respite Care in Detroit, MI
• Providers in Detroit, MI by specialty
• Respite Care in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.