Golden Years Adult Foster Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AS300011089 Issued in MI

Legal business name

GOLDEN YEARS ADULT FOSTER CARE

Practice address

1885 Osseo Rd S
Osseo, MI 49266-9643

Phone

(517) 523-4395

Fax

(517) 523-2748

NPI assigned

Oct 21, 2009

Last updated

Oct 21, 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

Mrs. Jo Ann M Thompson

Title

President

Phone

(517) 439-9478

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Shaws AFC Former legal business name

Locations

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256083200000",
    "number": "1871829150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HUDSON RD",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492428315",
            "telephone_number": "517-439-9478",
            "fax_number": "517-439-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 OSSEO RD S",
            "city": "OSSEO",
            "state": "MI",
            "postal_code": "492669643",
            "telephone_number": "517-523-4395",
            "fax_number": "517-523-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN YEARS ADULT FOSTER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "JO ANN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-439-9478",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "AS300011089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2214580",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3616301",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shaws AFC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lisa Arnett, LMSW
• Eitniear Afc
• Craig Steven Joseph, LPN
• Debora Lou Joseph, LPN
• Vicki Kime I, LBSW
• Somer L Strahan
• Monika Hildegard Winters

• Adult Care Home Facility in Osseo, MI
• Providers in Osseo, 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 Oct 21, 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.