Provider Demographics
NPI:1114619491
Name:AIMANTE FAMILY ASSISTANCE
Entity Type:Organization
Organization Name:AIMANTE FAMILY ASSISTANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AIMANTE
Authorized Official - Middle Name:
Authorized Official - Last Name:KINORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-954-5568
Mailing Address - Street 1:345 ALEWA DR NW
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49504-5846
Mailing Address - Country:US
Mailing Address - Phone:616-954-5568
Mailing Address - Fax:
Practice Address - Street 1:345 ALEWA DR NW
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49504-5846
Practice Address - Country:US
Practice Address - Phone:616-954-5568
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-24
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness