ACHIEVING INDEPENDENCE AFC LLC
NPI 1700325339
Custodial Care Facility - Adult Care Home in Wyoming, MI

Active since February 15, 2017
4280 BURLINGAME AVE SW, WYOMING, MI 49509(616) 724-4758(616) 534-5940 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Custodial Care Facility
  • Adult Care Home

About ACHIEVING INDEPENDENCE AFC LLC

This page provides the complete NPI Profile along with additional information for Achieving Independence Afc Llc, a provider established in Wyoming, Michigan operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1700325339 assigned on February 2017. The practitioner's primary taxonomy code is 311ZA0620X with license number AM410311939 (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 Sandra Jean Ambrus (Licensee/owner)

NPI
1700325339 Verify this NPI
Provider Name
ACHIEVING INDEPENDENCE AFC LLC
Entity Type
Organization
Location Address
4280 BURLINGAME AVE SW WYOMING, MI 49509
Location Phone
(616) 724-4758
Location Fax
(616) 534-5940
Mailing Address
4280 BURLINGAME AVE SW WYOMING, MI 49509
Mailing Phone
(616) 724-4758
Mailing Fax
(616) 534-5940
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2017
Last Update Date
02-15-2017
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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.
AM410311939
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

SANDRA JEAN AMBRUS

Authorized Official Title
LICENSEE/OWNER
Authorized Official Phone
(616) 724-4758

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0053805MEDICAID (05)MI 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700325339, enumerated as an "organization" on February 15, 2017.

The provider is located at 4280 BURLINGAME AVE SW WYOMING, MI 49509 and the phone number is (616) 724-4758.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.