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D & J HOME CARE INC. NPI 1043614852


NPI Information

NPI: 1043614852
Provider Name: D & J HOME CARE, INC.

Other Name: WADHAMS CREEK SENIOR COMMUNITY

Classification: Assisted Living Facility - 3104A0630X
Entity Type: Organization

Specialization: Assisted Living, Behavioral Disturbances

Address:
5485 SMITHS CREEK RD
KIMBALL, MI
ZIP 48074
Phone: (810) 367-7192
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D & J HOME CARE, INC. is an assisted living and behavioral disturbances assisted living facility in Kimball, MI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. D & J HOME CARE, INC. NPI is 1043614852. The provider is registered as an organization entity type.
The provider Other Name Is Wadhams Creek Senior Community.

The provider's business location address is:

5485 SMITHS CREEK RD
KIMBALL, MI
ZIP 48074-811
Phone: (810) 367-7192
Fax: (810) 367-4308

The provider's authorized official is Shella Faye Minor .
The authorized official title is Administrator and has the following contact phone number (586) 383-4404.

The enumeration date for this NPI number is 10/22/2014 and was last updated on 10/22/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesAS740308018MICHIGANNo
23104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesAS740299147MICHIGANNo
33104A0630XAssisted Living FacilityAssisted Living, Behavioral DisturbancesAL740304792MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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