MTB HOMES LLC NPI 1063224988

NPI Information

NPI: 1063224988
Provider Name: MTB HOMES, LLC
Classification: Custodial Care Facility - 311ZA0620X
Specialization: Adult Care Home
Entity Type: Organization
Address: 6210 WALDON RD
CLARKSTON, MI
ZIP 48346
Phone: (989) 402-8039

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NPI Details

MTB HOMES, LLC is an adult care home custodial care facility in Clarkston, MI. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. MTB HOMES, LLC NPI is 1063224988. The provider is registered as an organization entity type.

The provider's business location address is:

6210 WALDON RD
CLARKSTON, MI
ZIP 48346-237
Phone: (989) 402-8039

The provider's authorized official is Joanita N Mutebi .
The authorized official title is Administrator and has the following contact phone number (989) 402-8039.

The enumeration date for this NPI number is 1/27/2025 and was last updated on 1/27/2025.

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
1	311ZA0620X	Custodial Care Facility	Adult Care Home			Yes
2	343900000X	Non-emergency Medical Transport (VAN)				No

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: 11/21/2025

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