Provider Demographics
NPI:1700618030
Name:PAYTON'S AFC HOME INC.
Entity type:Organization
Organization Name:PAYTON'S AFC HOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAYTON
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:231-881-5999
Mailing Address - Street 1:5520 KUZMICK RD
Mailing Address - Street 2:
Mailing Address - City:ELMIRA
Mailing Address - State:MI
Mailing Address - Zip Code:49730-9534
Mailing Address - Country:US
Mailing Address - Phone:231-881-5999
Mailing Address - Fax:231-549-3477
Practice Address - Street 1:5520 KUZMICK RD
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:MI
Practice Address - Zip Code:49730-9534
Practice Address - Country:US
Practice Address - Phone:231-881-5999
Practice Address - Fax:231-549-3477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-15
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No177F00000XOther Service ProvidersLodging
No174200000XOther Service ProvidersMeals