BURNETT AFC NPI 1639320708

NPI Information

NPI: 1639320708
Provider Name: BURNETT AFC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
2181 KENNETH ST
BURTON, MI
ZIP 48529
Phone: (810) 743-6291
Get Directions

BURNETT AFC is a community based residential treatment facility, intellectual and/or developmental disabilities in Burton, MI. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. BURNETT AFC NPI is 1639320708. The provider is registered as an organization entity type.

The provider's business location address is:

2181 KENNETH ST
BURTON, MI
ZIP 48529-358
Phone: (810) 743-6291
Fax: (810) 743-1579

The provider's authorized official is Dana M Burnett .
The authorized official title is Owner/licensee and has the following contact phone number (810) 743-6291.

The enumeration date for this NPI number is 10/7/2008 and was last updated on 10/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		AM250067081	MICHIGAN	No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		AM250067081	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5294486	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »