GREEN ACRES AFC (NPI# 1922523505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922523505 |
| Entity Type | Organization |
| Organization Name | GREEN ACRES AFC |
| Practice Address |
127 Potter Rd W Traverse City MI 49696-8525 |
| Mailing Address |
9822 N Long Lake Rd Traverse City MI 49685-9106 |
| Practice Telephone | 2319477055 |
| Practice Fax Number | 2319477060 |
| Mailing Telephone | 2316328810 |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2017-08-04 |
| Authorized Official Name | MS. SARAH LOUISE MINER (LICENSEE/OWNER) |
| Authorized Official Telephone | 2316328810 |
| Authorized Official Credential | AFC LICENSEE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253J00000X | Foster Care Agency | AG280278926 | MI | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | ADULT FOSTER CARE | AG280278926 | 01 |
| MI | AG280278926 | 05 |
| Street Address |
127 POTTER RD W |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49696-8525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669965901 | Audrey Jo Cornell | Behavior Technician | 3163 Douglas Drive, Suite 110, Traverse City, MI 49696 | 2018-06-12 |
| 1972026680 | Stacey Lesnick Beyer | Occupational Therapist | 1810 Chartwell Dr., Traverse City, MI 49696 | 2017-07-25 |
| 1821527359 | James Harper | Day Training, Developmentally Disabled Services | 1364 Alexander Dr., Traverse City, MI 49696 | 2017-06-08 |
| 1407383490 | Cassandra Mccarty | Behavior Technician | 1363 Douglas Drvie, Suite 104, Traverse City, MI 49696 | 2017-05-22 |
| 1346776317 | Kaitlynd Hamstra | Behavior Technician | 304 Christina Lane, Traverse City, MI 49696 | 2017-05-11 |
| 1831526748 | Helena Kay Evans | Home Health Aide | 176 Island View Dr., Traverse, MI 49696 | 2013-10-09 |
| 1932543295 | Quality Elder Care L.L.C. | In Home Supportive Care | 2141 Blackforest Ln, Traverse, MI 49696 | 2013-04-17 |
| 1134462195 | Tc Chiropractic PC | Chiropractor | 1000 3 Mile Road, Traverse City, MI 49696 | 2013-03-28 |
| 1134663594 | Keith Finley | Behavioral Analyst | 1363 Douglas Dr, Traverse City, MI 49696 | 2016-12-05 |
| 1295755122 | Northwest Senior Resources Incorporated | Case Management | 1609 Park Dr, Traverse City, MI 49696-5946 | 2006-07-21 |
| Find all providers in zip 49696 | ||||
| Taxonomy Code | 253J00000X |
| Grouping | Agencies |
| Classification | Foster Care Agency |
| A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as "24-hour substitute care for children outside their own homes." Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes. |
| Notes: Source: Code Of Federal Regulations, Title 45, Volume 4, Part 1355, Section 57 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295125045 | Culver Meadows Afc, Inc. | Foster Care Agency | 5840 Culver Rd., Traverse City, MI 49685-8666 | 2015-02-02 |
| 1013307867 | Culver Senior Living, Inc. | Foster Care Agency | 1745 N West Silver Lake Rd, Traverse City, MI 49685 | 2015-02-02 |
| 1184026437 | Maishelle King | Foster Care Agency | 3935 E Long Lake Rd, Traverse City, MI 49685-8876 | 2014-09-18 |
| 1093003477 | New Horizon Support Service | Foster Care Agency | 2425 E Carriage Hill Dr, Traverse City, MI 49686-5104 | 2011-07-19 |
| 1679875843 | Pearson Afc- Munson House | Foster Care Agency | 802 Munson Ave, Traverse City, MI 49686-3602 | 2010-11-22 |
| 1477965036 | Grand Traverse Area Community Living Centers Non Profit Housing Corpor | Foster Care Agency | 935 Barlow St, Traverse City, MI 49686-4250 | 2014-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474576 | Maryann Michelle Lavender | Foster Care Agency | 5633 Embassy St, Kalamazoo, MI 49009-6499 | 2020-10-13 |
| 1417560269 | Fountain of Love | Foster Care Agency | 2140 Dickerson St, Detroit, MI 48215-2640 | 2020-08-30 |
| 1376165076 | Haven Adult Foster Care Ltd | Foster Care Agency | 73600 Church St, Armada, MI 48005-4749 | 2020-05-15 |
| 1104448018 | Jody Elizabeth Josephson | Foster Care Agency | 7415 Dexter Pinckney Rd, Dexter, MI 48130-7505 | 2020-05-13 |
| 1639701600 | Colonial Park Adult Assisted Living | Foster Care Agency | 1050 W Colonial Park Dr, Grand Ledge, MI 48837-2215 | 2020-02-07 |
| 1972135200 | Absolute Care LLC | Foster Care Agency | 5847 Naneva Ct, West Bloomfield, MI 48322-2517 | 2020-02-05 |
| 1699315556 | Reliance Manor LLC | Foster Care Agency | 35156 Ecorse Rd, Romulus, MI 48174-1640 | 2020-01-08 |
| 1215573217 | Byerly Enterprises, LLC | Foster Care Agency | 8616 Hidden Acre Ct, Clarkston, MI 48348-2895 | 2019-11-25 |
| 1235789553 | Dorthie Bolden | Foster Care Agency | 7027 Baseline Rd, South Haven, MI 49090-8338 | 2019-09-18 |
| 1457909509 | Sallie Mae Emert | Foster Care Agency | 2850 W Leinaar Rd, Delton, MI 49046-9567 | 2019-09-02 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49696 |
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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.