Embracing Life Afc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AS410299024 Issued in MI

Legal business name

EMBRACING LIFE AFC

Doing business as

embracing life ac

Practice address

1405 Forrester St S.E.
Grand Rapids, MI 49508

Phone

(616) 633-4768

Fax

(616) 318-1218

NPI assigned

Feb 27, 2017

Organization subpart

No

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

Authorized official

Name

Kristen Dawn Martell

Title

Owner/Operations Manager

Phone

(616) 633-4768

Specialties & licenses 1

Addresses

Other names 1

• embracing life ac Doing business as

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1710427695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 FORRESTER ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495081427",
            "telephone_number": "616-633-4768",
            "fax_number": "616-318-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 FORRESTER ST S.E.",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49508",
            "telephone_number": "616-633-4768",
            "fax_number": "616-318-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACING LIFE AFC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "MARTELL",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER/OPERATIONS MANAGER",
        "authorized_official_telephone_number": "616-633-4768"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS410299024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "embracing life ac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darryl J Elzinga, M.D.
• Jami Roach Elzinga
• Thomas J Elzinga, MA, LLP
• Em Sauer Psychological Services PLLC
• Elizabeth Todd Embick, M.D.
• Embree Embracing Quality Care 'at Your Front Door'
• Angela Lynette Embree, NP
• Andrea Lise Emens, RDN
• Jill Emens
• Melissa Marie Emeott, AGACNP-BC

• Adult Care Home Facility in Grand Rapids, MI
• Providers in Grand Rapids, 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 Feb 27, 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.