FREDERICKS FAMILY HOMES AFC INC (NPI# 1821506072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821506072 |
| Entity Type | Organization |
| Organization Name | FREDERICKS FAMILY HOMES AFC INC |
| Practice Address |
14705 Allen Rd Southgate MI 48195-2552 |
| Practice Telephone | 7342878982 |
| Mailing Telephone | 7342878982 |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2018-01-22 |
| Authorized Official Name | SHERYL ANN ALLES (CEO) |
| Authorized Official Telephone | 7343306400 |
| Authorized Official Credential | PROVIDER |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ADULT FOSTER CARE | 1497951156 | 01 |
| Street Address |
14705 ALLEN RD |
| City | SOUTHGATE |
| State | MI |
| Zip Code | 48195-2552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780206656 | Destiny D Harris | Social Worker | 14799, Southgate, MI 48195 | 2020-05-13 |
| 1285102368 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 16256 Fort St, Southgate, MI 48195 | 2018-11-07 |
| 1003382979 | Saran Charisse Watts | Case Manager/Care Coordinator | 31101 Allen Rd, Building 5, Southgate, MI 48195 | 2018-10-18 |
| 1255824025 | Kiesta Janell Lindsey | Social Worker | 13101 Allen Rd Bldg 4-f, Southgate, MI 48195 | 2018-06-07 |
| 1417473224 | Suzette Michele Watson | Nurse Practitioner | 14319 Dix-toledo, Southgate, MI 48195 | 2017-08-15 |
| 1275069486 | Liza Du Plessis | Student in an Organized Health Care Education/Training Program | 13111 Allen Road, Southgate, MI 48195 | 2017-05-08 |
| 1497290456 | Beaumont Health | Clinic/Center | 15777 Northline, Southgate, MI 48195 | 2016-12-30 |
| 1184172876 | Felicia Wilson | Licensed Practical Nurse | 15771 Wildemere, Southgate, MI 48195 | 2016-09-12 |
| 1225487978 | Stacey Petrick-strickland | Technician, Other | 12189 Agnes, Southgate, MI 48195 | 2016-06-03 |
| 1205298486 | Ashley Francis | Hearing Instrument Specialist | 18800 Eureka Rd., Southgate, MICHIGAN 48195 | 2016-03-25 |
| Find all providers in zip 48195 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735616 | Betterlife Caring Hands LLC | Home Health | 16565 Grace Ct Apt 304, Southgate, MI 48195-3633 | 2020-09-19 |
| 1942827423 | - | Home Health | 13850 Cambridge St Apt 116, Southgate, MI 48195-3104 | 2020-06-30 |
| 1851924211 | Sheushea Anderson | Home Health | 11255 Allen Rd Apt 204, Southgate, MI 48195-2880 | 2020-02-13 |
| 1497275994 | Jjett Home Health Care | Home Health | 11510 Willow, Southgate, MI 48195-7316 | 2017-06-26 |
| 1881140580 | Downriver Home Health Services | Home Health | 14703 Allen Rd Ste 220, Southgate, MI 48195-2594 | 2016-09-01 |
| 1285099952 | Heaven On Earth Home Care LLC | Home Health | 14000 Dix Toledo Rd, 2061, Southgate, MI 48195-9500 | 2015-12-23 |
| 1245535111 | Convenient Homehealth Care | Home Health | 14350 Countryview Dr, Southgate, MI 48195-3730 | 2011-01-24 |
| 1548493190 | Downriver Home Health Services Inc | Home Health | 14703 Allen Rd, Ste. 220, Southgate, MI 48195-2752 | 2009-08-31 |
| 1447302195 | Gentle Care Home Health Services, Inc. | Home Health | 15305 Dix Toledo Rd, Southgate, MI 48195-2693 | 2007-01-16 |
| 1386689495 | Unity Home Care Inc. | Home Health | 12866 Fort St, Southgate, MI 48195-1060 | 2006-06-20 |
| Find all providers in SOUTHGATE | ||||
Please comment or provide details below to improve the information on FREDERICKS FAMILY HOMES AFC INC.
| 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.