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THORN ADULT FOSTER CARE HOME NPI 1730330747


NPI Information

NPI: 1730330747
Provider Name: THORN ADULT FOSTER CARE HOME
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
4901 N SAGINAW ST
FLINT, MI
ZIP 48505
Phone: (810) 785-4324
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THORN ADULT FOSTER CARE HOME is a community based residential treatment facility, intellectual and/or developmental disabilities in Flint, 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. THORN ADULT FOSTER CARE HOME NPI is 1730330747. The provider is registered as an organization entity type.

The provider's business location address is:

4901 N SAGINAW ST
FLINT, MI
ZIP 48505-511
Phone: (810) 785-4324
Fax: (810) 785-6294

The provider's authorized official is Helen A. Thorn .
The authorized official title is Administrator and has the following contact phone number (810) 785-4324.

The enumeration date for this NPI number is 10/8/2008 and was last updated on 10/8/2008.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesAM250008168MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10346445MEDICAIDMICHIGAN

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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