SILVER SPARROW AFC HOME
NPI 1548700545
Custodial Care Facility - Adult Care Home in Grand Rapids, MI

Active since February 24, 2017
1316 ELLIOTT ST SE, GRAND RAPIDS, MI 49507(616) 881-5898 Get Directions Write a Review

NPPES record last updated: February 24, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Custodial Care Facility
  • Adult Care Home

About SILVER SPARROW AFC HOME

This page provides the complete NPI Profile along with additional information for Silver Sparrow Afc Home, a provider established in Grand Rapids, Michigan operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1548700545 assigned on February 2017. The practitioner's primary taxonomy code is 311ZA0620X with license number AF410287362 (MI). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Ms. Laura Jo Alexander (Sole Proprietor And Afc Provider)

NPI
1548700545 Verify this NPI
Provider Name
SILVER SPARROW AFC HOME
Entity Type
Organization
Location Address
1316 ELLIOTT ST SE GRAND RAPIDS, MI 49507
Location Phone
(616) 881-5898
Mailing Address
1316 ELLIOTT ST SE GRAND RAPIDS, MI 49507
Mailing Phone
(616) 881-5898
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-24-2017
Last Update Date
02-24-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
AF410287362
License State
MI
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. LAURA JO ALEXANDER

Authorized Official Title
SOLE PROPRIETOR AND AFC PROVIDER
Authorized Official Phone
(616) 881-5898

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548700545, enumerated as an "organization" on February 24, 2017.

The provider is located at 1316 ELLIOTT ST SE GRAND RAPIDS, MI 49507 and the phone number is (616) 881-5898.

Custodial Care Facility with taxonomy code 311ZA0620X and a focus in Adult Care Home.