SEVENTY SIXTH STREET AFC LLC
NPI 1962773408
Respite Care in Caledonia, MI

Active since January 14, 2012
3554 76TH ST SE, CALEDONIA, MI 49316(616) 698-6681(616) 698-6681 Get Directions Write a Review

NPPES record last updated: January 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Seventy Sixth Street Afc Llc NPPES

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

SEVENTY SIXTH STREET AFC LLC (NPI 1962773408) is a healthcare organization registered as a respite care in Caledonia, Michigan and active in the NPI registry since January 2012. The organization lists Debra Ann Krajewski, Owner, as its authorized official.

NPPES Registry Identity

NPI1962773408
Entity TypeOrganization
Primary Taxonomy385H00000X
Legal Business NameSEVENTY SIXTH STREET AFC LLC
Location Address3554 76TH ST SECaledonia, MI 49316-9113
Mailing Address6026 Kalamazoo Ave Se, #296Kentwood, MI 49508-7018 · (616) 318-1961 · Fax (616) 891-0838
Fax(616) 698-6681
Organization SubpartNo
Authorized OfficialDebra Ann KrajewskiOwner · (616) 318-1961
Enumeration DateJanuary 14, 2012
NPI 1962773408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRespite CareRespite Care Facility
Taxonomy Code385H00000X
License Licensed in MI · AM410285883
3554 76TH ST SE, Caledonia, MI 49316

Other Providers at the Same Location NPPES

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

Custodial Care Facility (Adult Care Home)
3554 76TH ST SE
CALEDONIA, MI 49316

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 Seventy Sixth Street AFC LLC's NPI number?

The NPI number for Seventy Sixth Street AFC LLC is 1962773408. It was assigned to this organization in the NPPES registry on January 14, 2012.

Where is Seventy Sixth Street AFC LLC located?

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

What is Seventy Sixth Street AFC LLC's specialty?

The primary specialty registered for this NPI is Respite Care with taxonomy code 385H00000X.

When was this NPI record last updated?

The NPPES record for Seventy Sixth Street AFC LLC was last updated on January 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.