Healthcare Provider Details

I. General information

NPI: 1235403338
Provider Name (Legal Business Name): FOSTER FAMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2012
Last Update Date: 11/07/2023
Certification Date: 11/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51185 WILLIS RD
BELLEVILLE MI
48111-9394
US

IV. Provider business mailing address

51185 WALLIS ROAD
BELLEVILLE MI
48111-9394
US

V. Phone/Fax

Practice location:
  • Phone: 734-276-7909
  • Fax: 734-780-7401
Mailing address:
  • Phone: 734-276-7906
  • Fax: 734-677-8517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number6801063713
License Number StateMI

VIII. Authorized Official

Name: SHARI ANN FOSTER
Title or Position: CEO, OWNER
Credential: LMSW
Phone: 734-276-7906