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

Facility Information
Facility Name:
Emmanuel
Address:
604 Jefferson Avenue SE
Grand Rapids , MI 49503
County:
KENT
Phone:
(616) 589-4609
License Number:
AF410315360
Facility Status:
ACTIVE
License Status:
REGULAR
License Effective Date:
5/28/2024
License Expiration Date:
5/27/2026
License Facility Type:
ADULT FAMILY HOME (CAPACITY 1-6)
Capacity:
6
Services Provided
Serves:
Aged, Developmentally Disabled, Mentally Ill
Special Certification:
Developmentally Disabled, Mentally Ill
Certification for Community Living:
Licensee Information
Licensee Information:
Tenagne Mengistu
604 Jefferson Avenue SE
Grand Rapids , MI 49503
Licensee Phone:
(616) 589-4609
Reports Available
AF410315360_RNWL_20240205.pdf
5/21/2024
AF410315360_SIR_2023A0467013.pdf
12/11/2022
AF410315360_RNWL_20220203.pdf
6/26/2022
AF410315360_ADD_20121212.pdf
12/24/2012
AF410315360_ORIG.pdf
12/13/2011

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.