MARK EDWARD SISSELL
NPI 1972159440
Foster Care Agency in Sand Lake, MI

Active since August 12, 2019
8180 19 MILE RD, SAND LAKE, MI 49343(616) 696-2304(616) 696-1713 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Edward Sissell NPPES

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

MARK EDWARD SISSELL (NPI 1972159440) is an individual foster care agency provider in Sand Lake, Michigan, licensed in Michigan (AL410007118) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1972159440
Entity TypeIndividualMale
Primary Taxonomy253J00000X
Provider Legal NameMARK EDWARD SISSELL
Location Address8180 19 MILE RDSand Lake, MI 49343-9455
Mailing Address8180 19 Mile RdSand Lake, MI 49343-9455 · (616) 696-2304 · Fax (616) 696-1713
Fax(616) 696-1713
Sole ProprietorYes
Enumeration DateAugust 12, 2019
NPI 1972159440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFoster Care AgencyAgencies
Taxonomy Code253J00000X
License Licensed in MI · AL410007118
Definition
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.
8180 19 MILE RD, Sand Lake, MI 49343

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)
8180 19 MILE RD
SAND LAKE, MI 49343

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 Mark Sissell's NPI number?

The NPI number for Mark Sissell is 1972159440. It was assigned to this individual provider in the NPPES registry on August 12, 2019.

Where is Mark Sissell located?

Mark Sissell practices at 8180 19 Mile Rd, Sand Lake, MI 49343. The listed phone number is (616) 696-2304.

What is Mark Sissell's specialty?

The primary specialty registered for this NPI is Foster Care Agency with taxonomy code 253J00000X.

When was this NPI record last updated?

The NPPES record for Mark Sissell was last updated on August 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.