Powell House Afc

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

POWELL HOUSE AFC

Practice address

3531 Niles Rd
Saint Joseph, MI 49085-8744

Phone

(269) 281-0034

Fax

(269) 983-0303

NPI assigned

Aug 23, 2023

Last updated

Jun 9, 2026By 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

Lori Costanza, RNNPI 1184228959

Title

Owner

Phone

(269) 983-0300

Specialties & licenses 1

Addresses

Locations

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.

• Lori Costanza

  • Registered Nurse
  • Sodus, MI
  • NPI 1184228959
  NPD Authorized official

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1811771488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858612",
            "telephone_number": "269-281-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858744",
            "telephone_number": "269-281-0034",
            "fax_number": "269-983-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWELL HOUSE AFC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "COSTANZA",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-983-0300",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley W Pletcher, M.D.
• Lydia Carissa Pongo, LLPC
• Joseph Popa
• Jeanette O'Neill Postelli, NP
• Thomas K Pow, M.D.
• Melissa Powell
• Brenna Powers
• Karen Lynne Powers, MD
• Matous Pradny, MD
• Premier Health Associates, Inc. (Right at Home - Southwest Michigan)

• Adult Care Home Facility in Saint Joseph, MI
• Providers in Saint Joseph, 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 Jun 9, 2026; 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.