Provider Demographics
NPI:1316300361
Name:AMANI FOSTER CARE, LLC
Entity type:Organization
Organization Name:AMANI FOSTER CARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SULAIMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BASIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-570-7322
Mailing Address - Street 1:5132 MAGNOLIA BLOSSOM BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-1031
Mailing Address - Country:US
Mailing Address - Phone:614-570-7322
Mailing Address - Fax:
Practice Address - Street 1:2689 E SNOW RD
Practice Address - Street 2:
Practice Address - City:BERRIEN SPRINGS
Practice Address - State:MI
Practice Address - Zip Code:49103-9637
Practice Address - Country:US
Practice Address - Phone:614-570-7322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAF110372910385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care