Brendas Little Acres LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AM410293632 Issued in MI

Legal business name

BRENDAS LITTLE ACRES LLC

Practice address

12068 36TH St SE
Lowell, MI 49331-9509

Phone

(616) 897-8340

Fax

(616) 897-8343

NPI assigned

Feb 27, 2017

Last updated

Feb 27, 2017By 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

Mrs. Brenda Lee Canter

Title

Licensee/Administator

Phone

(616) 897-8340

Specialties & licenses 1

Addresses

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": "1760922637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12068 36TH ST SE",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319509",
            "telephone_number": "616-897-8340",
            "fax_number": "616-897-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12068 36TH ST SE",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493319509",
            "telephone_number": "616-897-8340",
            "fax_number": "616-897-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDAS LITTLE ACRES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "CANTER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTATOR",
        "authorized_official_telephone_number": "616-897-8340",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AM410293632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timeco Bolden, LMSW
• Laurel Bonney
• Anthony Bosco
• Rene Boullion III
• Laura A Brandt, MA
• Jacoba Marie Briggs-Limbers
• Tamara Brown, LMSW
• Sarah Virginia Bulthuis, LPC
• Eric Franklin Busch, MT-BC
• Jennifer Byrd, DDS

• Adult Care Home Facility in Lowell, MI
• Providers in Lowell, 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.