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AB KHA #1 PLACE ADULT CARE HOME NPI 1083041594


NPI Information

NPI: 1083041594
Provider Name: AB KHA #1 PLACE ADULT CARE HOME
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
20815 MONTROSE AVE
WARREN, MI
ZIP 48089
Phone: (313) 627-5885
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AB KHA #1 PLACE ADULT CARE HOME is an adult care home custodial care facility in Warren, 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. AB KHA #1 PLACE ADULT CARE HOME NPI is 1083041594. The provider is registered as an organization entity type.

The provider's business location address is:

20815 MONTROSE AVE
WARREN, MI
ZIP 48089-464
Phone: (313) 627-5885

The provider's authorized official is Rodrick Barnes .
The authorized official title is Ceo and has the following contact phone number (313) 627-5885.

The enumeration date for this NPI number is 9/28/2013 and was last updated on 9/28/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1311ZA0620XCustodial Care FacilityAdult Care HomeMICHIGANYes

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: 4/28/2024

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