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HOMELIFE INC. NPI 1255844965


NPI Information

NPI: 1255844965
Provider Name: HOMELIFE, INC.

Other Name: 824 W. KALAMAZOO

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
824 W KALAMAZOO AVE
KALAMAZOO, MI
ZIP 49007
Phone: (269) 373-8815
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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 1255844965. The provider is registered as an organization entity type.
The provider Other Name Is 824 W. Kalamazoo.

The provider's business location address is:

824 W KALAMAZOO AVE
KALAMAZOO, MI
ZIP 49007-242
Phone: (269) 373-8815
Fax: (269) 373-4812

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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessAM390084283MICHIGANYes
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo

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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