Noah'S Afc Home Inc.

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

NOAH'S AFC HOME INC.

Practice address

2299 N Vernon Ave
Holt, MI 48842-2125

Phone

(517) 694-2351

NPI assigned

Dec 22, 2016

Organization subpart

No

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

Authorized official

Name

Aster Solomon Mekonnen, CARE GIVER

Title

Administrator

Phone

(517) 694-2351

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1760927016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 N VERNON AVE",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488422125",
            "telephone_number": "517-694-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 N VERNON AVE",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488422125",
            "telephone_number": "517-694-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOAH'S AFC HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "MEKONNEN",
        "authorized_official_first_name": "ASTER",
        "authorized_official_middle_name": "SOLOMON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "517-694-2351",
        "authorized_official_credential": "CARE GIVER"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Holt, MI
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• Contractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.