HOMELIFE INC. NPI 1255844957

NPI Information

NPI: 1255844957
Provider Name: HOMELIFE, INC.

Other Name: 10633 WEST J AVENUE

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
10633 W J AVE
KALAMAZOO, MI
ZIP 49009
Phone: (269) 353-1809
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HOMELIFE, INC. is a community based residential treatment facility mental illness in Kalamazoo, MI. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. HOMELIFE, INC. NPI is 1255844957. The provider is registered as an organization entity type.
The provider Other Name Is 10633 West J Avenue.

The provider's business location address is:

10633 W J AVE
KALAMAZOO, MI
ZIP 49009-529
Phone: (269) 353-1809
Fax: (269) 353-1885

The provider's authorized official is Barry J. Bruns .
The authorized official title is President and has the following contact phone number (269) 660-0854.

The enumeration date for this NPI number is 11/16/2017 and was last updated on 11/16/2017.

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	320800000X	Community Based Residential Treatment Facility, Mental Illness		AS390252741	MICHIGAN	Yes
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				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: 4/28/2024

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