Statewide Detail for Adult Foster Care / Homes for the Aged Facilities

Facility Information
Facility Name:
Elijah AFC Home
Address:
712 Hickory Street
Niles , MI 49120
County:
BERRIEN
Phone:
(269) 340-4999
License Number:
AF110363351
Facility Status:
ACTIVE
License Status:
REGULAR
License Effective Date:
5/16/2024
License Expiration Date:
5/15/2026
License Facility Type:
ADULT FAMILY HOME (CAPACITY 1-6)
Capacity:
5
Services Provided
Serves:
Aged, Mentally Ill
Special Certification:
Certification for Community Living:
Licensee Information
Licensee Information:
Nelima Hazra
712 Hickory Street
Niles , MI 49120
Licensee Phone:
(269) 340-5113
Reports Available
AF110363351_RNWL_20240205.pdf
5/4/2024
AF110363351_SIR_2024A1030003.pdf
12/17/2023
AF110363351_RNWL_20220203.pdf
5/1/2022
AF110363351_SIR_2022A1030013.pdf
2/4/2022
AF110363351_ORIG.pdf
1/18/2016

The reports on this site are available for downloading or viewing using the Adobe Acrobat Reader. When rule violations have been cited in a report, the licensee is required to submit a corrective action plan. Written corrective action plans that are submitted by the licensee in response to the Department reports are available through the Freedom of Information Act

  • Original and Renewal Licensing Study Report
    Completed in response to the initial or renewal application for license on all facilities.
  • Inspection Report
    Interim Inspections are conducted at or near the mid point of the effective dates of the license.
  • Special Investigation Report
    Special Investigation Reports are conducted in response to rule related complaints received regarding a facility. The presence of a special investigation report on this site does mean there were substantiated rule violations. Please read any report in its entirety.