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MIAMI HOMECARE SERVICES LLC NPI 1346691177


NPI Information

NPI: 1346691177
Provider Name: MIAMI HOMECARE SERVICES, LLC
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1912 MIAMI ST
SOUTH BEND, IN
ZIP 46613
Phone: (574) 276-5026
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MIAMI HOMECARE SERVICES, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in South Bend, IN. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. MIAMI HOMECARE SERVICES, LLC NPI is 1346691177. The provider is registered as an organization entity type.

The provider's business location address is:

1912 MIAMI ST
SOUTH BEND, IN
ZIP 46613-915
Phone: (574) 276-5026

The provider's authorized official is Dixon Mwose .
The authorized official title is Ceo and has the following contact phone number (574) 276-9831.

The enumeration date for this NPI number is 6/22/2016 and was last updated on 6/22/2016.


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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesINDIANANo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesINDIANAYes

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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