PDHCRC INC. NPI 1164569802

NPI Information

  • NPI: 1164569802
  • Provider Name: PDHCRC, INC.
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Doing Business As: POTENTIAL DEVELOPMENT HOMES, INC.
  • Address: 2111 BONDSTEEL DR.
    JACKSON, MI
    ZIP 49202
  • Phone: (517) 784-4426

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NPI Details

PDHCRC, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Jackson, MI. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. PDHCRC, INC. NPI is 1164569802. The provider is registered as an organization entity type.
The provider Is Doing Business As Potential Development Homes, Inc..

The provider's business location address is:

2111 BONDSTEEL DR.
JACKSON, MI
ZIP 49202
Phone: (517) 784-4426

The provider's authorized official is Karrie Beilfuss .
The authorized official title is Ceo and has the following contact phone number (517) 748-7071.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 5/8/2024.

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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesAL380007055MICHIGANNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes
3320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesAL380007055MICHIGANNo
4320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesAL380007059MICHIGANNo
5385H00000XRespite CareNo
6385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesDC380253832MICHIGANNo
7385HR2065XRespite CareRespite Care, Physical Disabilities, ChildDC380253832MICHIGANNo

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: 3/30/2025

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