TERRY DRIVE AFC LLC
NPI 1356881148
Custodial Care Facility - Adult Care Home in Grand Rapids, MI

Q: What is Terry Drive AFC LLC's NPI number?

The NPI number for Terry Drive AFC LLC is 1356881148. It was assigned to this organization in the NPPES registry on February 28, 2017.

Q: What is Terry Drive AFC LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since February 28, 2017

4638 TERRY DR SE, GRAND RAPIDS, MI 49512(616) 318-1961 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Terry Drive Afc Llc NPPES

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

TERRY DRIVE AFC LLC (NPI 1356881148) is a healthcare organization registered as an adult care home in Grand Rapids, Michigan and active in the NPI registry since February 2017. The organization lists Debra Krajewski, Licensee/designee, as its authorized official.

NPPES Registry Identity

NPI1356881148

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameTERRY DRIVE AFC LLC

Location Address4638 TERRY DR SEGrand Rapids, MI 49512-5321

Mailing Address6026 Kalamazoo Ave Se, Ste 296Grand Rapids, MI 49508-7018

Phone(616) 318-1961

Organization SubpartNo

Authorized OfficialDebra KrajewskiLicensee/designee · (616) 318-1961

Enumeration DateFebruary 28, 2017

✔ NPI 1356881148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in MI · AS410298938

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

4638 TERRY DR SE, Grand Rapids, MI 49512

Open in Google Maps ↗

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 Terry Drive AFC LLC's NPI number?

The NPI number for Terry Drive AFC LLC is 1356881148. It was assigned to this organization in the NPPES registry on February 28, 2017.

Where is Terry Drive AFC LLC located?

Terry Drive AFC LLC is located at 4638 Terry Dr SE, Grand Rapids, MI 49512. The listed phone number is (616) 318-1961.

What is Terry Drive AFC LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Terry Drive AFC LLC was last updated on February 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.