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SANDY'S COUNTRY AFC
NPI 1386183911
Custodial Care Facility - Adult Care Home in Alto, MI

Active since February 15, 2017
12955 68TH ST SE, ALTO, MI 49302(616) 868-0001(616) 868-0030 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Sandy's Country Afc NPPES

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

SANDY'S COUNTRY AFC (NPI 1386183911) is a healthcare organization registered as an adult care home in Alto, Michigan and active in the NPI registry since February 2017. The organization lists Sandra Jean Ambrus, Licensee/owner, as its authorized official.

NPPES Registry Identity

NPI1386183911
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameSANDY'S COUNTRY AFC
Location Address12955 68TH ST SEAlto, MI 49302-9741
Mailing Address12955 68th St SeAlto, MI 49302-9741 · (616) 868-0001 · Fax (616) 868-0030
Phone(616) 868-0001
Fax(616) 868-0030
Organization SubpartNo
Authorized OfficialSandra Jean AmbrusLicensee/owner · (616) 868-0001
Enumeration DateFebruary 15, 2017
✔ NPI 1386183911 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 · AM410281990
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.
12955 68TH ST SE, Alto, MI 49302
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Other Identifiers 1

Medicaid9455674MI

Other Providers at the Same Location NPPES

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

MARCIA LUCILLE KOZA
Custodial Care Facility (Adult Care Home)
12955 68TH ST SE
ALTO, MI 49302
Kent County (616) 868-0001

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 Sandy's Country AFC's NPI number?

The NPI number for Sandy's Country AFC is 1386183911. It was assigned to this organization in the NPPES registry on February 15, 2017.

Where is Sandy's Country AFC located?

Sandy's Country AFC is located at 12955 68th St SE, Alto, MI 49302. The listed phone number is (616) 868-0001.

What is Sandy's Country AFC'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 Sandy's Country AFC was last updated on February 15, 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.