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AGAPE HOME AT BLUEBERRY FIELDS INC.
NPI 1174873665
Assisted Living Facility in Fruitport, MI

Active since September 12, 2012CLIA 23D2200409 · Waiver
4747 E MT. GARFIELD RD., FRUITPORT, MI 49415(231) 780-2229(231) 780-9000 Get Directions Write a Review

NPPES record last updated: September 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Agape Home At Blueberry Fields Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGAPE HOME AT BLUEBERRY FIELDS INC. (NPI 1174873665) is a healthcare organization registered as an assisted living facility in Fruitport, Michigan and active in the NPI registry since September 2012. The organization holds a CLIA Waiver certificate valid through November 15, 2026 and lists Richard Harold Ebeling, President, as its authorized official.

NPPES Registry Identity

NPI1174873665
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameAGAPE HOME AT BLUEBERRY FIELDS INC.
Location Address4747 E MT. GARFIELD RD.Fruitport, MI 49415
Mailing Address572 Lake Forest LaneMuskegon, MI 49441 · (231) 780-2229 · Fax (231) 780-9000
Phone(231) 780-2229
Fax(231) 780-9000
Organization SubpartNo
Authorized OfficialRichard Harold EbelingPresident · (231) 780-2229
Enumeration DateSeptember 12, 2012
✔ NPI 1174873665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in MI · AL601304298
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
4747 E MT. GARFIELD RD., Fruitport, MI 49415
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2200409

Agape Home At Blueberry Fields, Inc · Fruitport, MI
Active · expires Nov 15, 2026
CLIA Number23D2200409
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorRichard H. Ebeling
Laboratory Phone(231) 780-2229
Laboratory LocationAgape Home At Blueberry Fields, Inc4747 E Mt Garfield Rd, Fruitport, MI 49415
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agape Home At Blueberry Fields Inc.'s NPI number?

The NPI number for Agape Home At Blueberry Fields Inc. is 1174873665. It was assigned to this organization in the NPPES registry on September 12, 2012.

Where is Agape Home At Blueberry Fields Inc. located?

Agape Home At Blueberry Fields Inc. is located at 4747 E Mt. Garfield Rd., Fruitport, MI 49415. The listed phone number is (231) 780-2229.

What is Agape Home At Blueberry Fields Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Agape Home At Blueberry Fields Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2200409) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Agape Home At Blueberry Fields Inc. was last updated on September 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.