1. Home
  2. Directory
  3. Michigan
  4. Caledonia
  5. Custodial Care Facility
  6. NPI Profile

76TH ST AFC LLC
NPI 1366982159
Custodial Care Facility - Adult Care Home in Caledonia, MI

Active since February 28, 2017
3554 76TH ST SE, CALEDONIA, MI 49316(616) 698-6681 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 76th St Afc Llc NPPES

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

76TH ST AFC LLC (NPI 1366982159) is a healthcare organization registered as an adult care home in Caledonia, Michigan and active in the NPI registry since February 2017. The organization lists Debra Krajewski, Licensee/designee, as its authorized official.

NPPES Registry Identity

NPI1366982159
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business Name76TH ST AFC LLC
Location Address3554 76TH ST SECaledonia, MI 49316-9113
Mailing Address6026 Kalamazoo Ave Se, Ste 296Grand Rapids, MI 49508-7018
Phone(616) 698-6681
Organization SubpartNo
Authorized OfficialDebra KrajewskiLicensee/designee · (616) 318-1961
Enumeration DateFebruary 28, 2017
✔ NPI 1366982159 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 · AM410285883
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.
3554 76TH ST SE, Caledonia, MI 49316
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEVENTY SIXTH STREET AFC LLC
Respite Care
3554 76TH ST SE
CALEDONIA, MI 49316
Kent County (616) 698-6681

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 76th St AFC LLC's NPI number?

The NPI number for 76th St AFC LLC is 1366982159. It was assigned to this organization in the NPPES registry on February 28, 2017.

Where is 76th St AFC LLC located?

76th St AFC LLC is located at 3554 76th St SE, Caledonia, MI 49316. The listed phone number is (616) 698-6681.

What is 76th St 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 76th St 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.