ROCKING HORSE RANCH AFC HOME
NPI 1689814063
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Fruitport, MI

Active since February 25, 2009
19138 144TH AVE, FRUITPORT, MI 49415(616) 846-6593 Get Directions Write a Review

NPPES record last updated: February 25, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rocking Horse Ranch Afc Home NPPES

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

ROCKING HORSE RANCH AFC HOME (NPI 1689814063) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Fruitport, Michigan and active in the NPI registry since February 2009. The organization lists Moonyeen L. Lincoln, Owner, as its authorized official.

NPPES Registry Identity

NPI1689814063
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameROCKING HORSE RANCH AFC HOME
Location Address19138 144TH AVEFruitport, MI 49415-9670
Mailing Address19138 144th AveFruitport, MI 49415-9670 · (616) 846-6593
Organization SubpartNo
Authorized OfficialMoonyeen L. LincolnOwner · (616) 846-6593
Enumeration DateFebruary 25, 2009
NPI 1689814063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in MI · AF700237485
Definition

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

19138 144TH AVE, Fruitport, MI 49415

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689814063, enumerated as an "organization" on February 25, 2009.

The provider is located at 19138 144TH AVE FRUITPORT, MI 49415 and the phone number is (616) 846-6593.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.