SHEDRICE'S AFC (NPI# 1619404308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619404308 |
| Entity Type | Organization |
| Organization Name | SHEDRICE'S AFC |
| Other Organization Name | CALVONN'E AFC |
| Practice Address |
246 Powell Se Ave Grand Rapids MI 49507 |
| Mailing Address |
246 Powell St Se Grand Rapids MI 49507-1176 |
| Practice Telephone | 6162481720 |
| Practice Fax Number | 6162481720 |
| Mailing Telephone | 6162481720 |
| Mailing Fax Number | 6162481720 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |
| Authorized Official Name | SHELIA LYNN BURRELL (OWENER) |
| Authorized Official Telephone | 6162481720 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
AS410385361 | MI | Respite Care Facility |
| Other Name | Type Code |
|---|---|
| calvonn'e AFC | Doing Business As Name - Organization |
| Street Address |
246 POWELL SE AVE |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487156956 | Kristen Zvirbulis Keeter | Physical Therapist | 625 Kenmoor Ave. Se Ste 306, Grand Rapids, MI 49507 | 2018-03-01 |
| 1508371758 | Vanessa Woodard | Case Manager/Care Coordinator | 1939 S. Division Ave., Grand Rapids, MI 49507 | 2017-12-11 |
| 1306350624 | Courtney Nicole Porter | Social Worker | 1979 S Division Ave., Grand Rapids, MI 49507 | 2017-11-22 |
| 1518496900 | 733 Prince LLC | Custodial Care Facility | 733 Prince St Se, Grand Rapids, MI 49507 | 2017-06-08 |
| 1720515406 | Tiffanie Ryder | Massage Therapist | 1110 Merrified St, Grand Rapids, MI 49507 | 2017-05-12 |
| 1992171748 | Richard Lavell Flowers | Non-emergency Medical Transport (VAN) | 1447 Elliott, Grand Rapids, MI 49507 | 2015-08-17 |
| 1982096087 | Jordana Seebeck | Social Worker | 1939 S. Division Se, Grand Rapids, MI 49507 | 2015-02-26 |
| 1083973135 | Carla May Waite | Social Worker | 1939 South Division, Grand Rapids, MI 49507 | 2012-05-10 |
| 1740550037 | Jamie Lee Dalton | Social Worker | 2017 College Ave Se, Grand Rapids, MI 49507 | 2012-01-04 |
| 1760760037 | Cristian Rodriguez | Physician Assistant | 2155 Buchanan St Sw, Grand Rapids, MI 49507 | 2011-08-03 |
| Find all providers in zip 49507 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184181042 | Strive Recreational Therapy Services, Inc. | Respite Care | 6751 Dixie Hwy Ste 113, Clarkston, MI 48346-2080 | 2019-02-27 |
| 1922531854 | Andrew A Feher Dds | Respite Care | 11270 E 13 Mile Rd Ste 3, Warren, MI 48093-2599 | 2017-04-07 |
| 1235679960 | Care Within Care Housing, Inc | Respite Care | 11256 Engleside St, Detroit, MI 48205-3210 | 2017-02-28 |
| 1649716804 | Learning and Living, LLC. | Respite Care | 150 Mary Alexander Ct, Northville, MI 48167-1628 | 2017-01-12 |
| 1063956654 | Rainbow Homes Non-profit Housing Corporation | Respite Care | 2111 Adelpha Ave, Holt, MI 48842-1117 | 2016-12-15 |
| 1871036442 | Raysen Care Services | Respite Care | 29040 Tessmer Ct, Madison Heights, MI 48071-2656 | 2016-11-29 |
| 1093186769 | Samira Hamo-oumarou | Respite Care | 23378 Heritage Dr, Woodhaven, MI 48183-3240 | 2015-10-07 |
| 1609252592 | Bernadeta Lis | Respite Care | 520 Oxford Ct, Rochester Hills, MI 48307-4527 | 2015-08-03 |
| 1790189777 | Community Linx | Respite Care | 8291 Rolling Hill Ln, Grand Ledge, MI 48837-9251 | 2014-10-20 |
| 1801224613 | The Carter Institute for Gifted Children | Respite Care | 24518 Harper Ave, Saint Clair Shores, MI 48080-1238 | 2013-10-15 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49507 |
Please comment or provide details below to improve the information on SHEDRICE'S AFC.
| 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.