MAYFIELD ADULT FOSTER CARE HOME, INC. (NPI# 1003842444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003842444 |
| Entity Type | Organization |
| Organization Name | MAYFIELD ADULT FOSTER CARE HOME, INC. |
| Other Organization Name | MAYFIELD AFC HOME, INC. |
| Practice Address |
1113 E Hemphill Rd Flint MI 48507-2835 |
| Practice Telephone | 8107427931 |
| Mailing Telephone | 8107427931 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ERIC SCOTT MCBEAN (PRESIDENT) |
| Authorized Official Telephone | 8107427931 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | MI | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Mayfield AFC Home, Inc. | Other Name - Individual/Organization |
| Street Address |
1113 E HEMPHILL RD |
| City | FLINT |
| State | MI |
| Zip Code | 48507-2835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245847870 | Alexis Nichole Leach | Physician Assistant | 5494 South Dort Hwy, Flint, MI 48507 | 2020-09-28 |
| 1508330317 | Jeffrey Mark Funck | Registered Nurse | G-4443 Miller Road, Suite 100, Flint, MI 48507 | 2019-01-15 |
| 1861981292 | Lavonne L Alexander | Nurse Practitioner | 4500 S Saginaw St Ste 1875, Flint, MI 48507 | 2018-05-01 |
| 1760984348 | Melissa Dawn Hoffman | Psychologist | 5402 Gateway Centre Drive, Suite B, Flint, MI 48507 | 2018-02-28 |
| 1902327323 | Katee Mast | Case Manager/Care Coordinator | 110 Eldon Baker Drive, Flint, MI 48507 | 2017-07-06 |
| 1699228460 | Joshua Sinclair | Social Worker | 2442 E Maple Ave Ste 207, Flint, MI 48507 | 2016-07-28 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1528412822 | Drita Gojcaj | Massage Therapist | 3426 Miller Road, Flint, MI 48507 | 2016-04-22 |
| 1629422100 | Ellen Makarewicz-ely | Massage Therapist | 3426 Miller Rd, Flint, MI 48507 | 2016-04-20 |
| 1700262722 | Katelyn Bailey | Nurse Practitioner | 1420 W Twelfth St, Flint, MI 48507 | 2015-07-31 |
| Find all providers in zip 48507 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215579537 | Eden Prairie Residential Care Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 302 Welch Blvd, Flint, MI 48503-1105 | 2019-10-09 |
| 1679010169 | Aim Too Please Home Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3220 Red Barn Rd, Flint, MI 48507-1278 | 2017-01-23 |
| 1477903730 | Gracie Hunter | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1110 Eldon Baker, Flint, MI 48507 | 2016-06-17 |
| 1770859217 | Consumer Advancement | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3209 Old Farm Rd, 4438 Colby Ct., Flint, MI 48507-1248 | 2012-03-29 |
| 1164718441 | Alternative Community Living, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 304 W Tobias St, Flint, MI 48503-3975 | 2011-06-24 |
| 1255576765 | Deshra Michelle Vines | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 714 Lippincott Blvd, Flint, MI 48503-5818 | 2008-12-11 |
| 1598916793 | Royster Haven | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2026 Oren Ave, Flint, MI 48505-4688 | 2008-10-06 |
| 1275740441 | Alternative Community Living, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1921 Colchester Rd, Flint, MI 48503-4676 | 2007-05-17 |
| 1609083872 | Alternative Community Living, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2820 Westwood Pkwy, Flint, MI 48503-4671 | 2007-05-17 |
| 1316973530 | Coldwater Place | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4318 E Coldwater Rd, Flint, MI 48506-1054 | 2006-06-23 |
| Find all providers in FLINT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.