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GRAND TRAVERSE AREA COMMUNITY LIVING MANAGEMENT CORPORATION NPI 1851703417


NPI Information

NPI: 1851703417
Provider Name: GRAND TRAVERSE AREA COMMUNITY LIVING MANAGEMENT CORPORATION

Doing Business As: BRICKWAYS

Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
935 BARLOW ST
TRAVERSE CITY, MI
ZIP 49686
Phone: (231) 932-9030
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GRAND TRAVERSE AREA COMMUNITY LIVING MANAGEMENT CORPORATION is a day training developmentally disabled services in Traverse City, MI. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. GRAND TRAVERSE AREA COMMUNITY LIVING MANAGEMENT CORPORATION NPI is 1851703417. The provider is registered as an organization entity type.
The provider Is Doing Business As Brickways.

The provider's business location address is:

935 BARLOW ST
TRAVERSE CITY, MI
ZIP 49686-250
Phone: (231) 932-9030
Fax: (231) 941-3421

The provider's authorized official is Susan R Onan .
The authorized official title is Executive Director and has the following contact phone number (231) 932-9030.

The enumeration date for this NPI number is 5/29/2014 and was last updated on 1/26/2017.


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
1251B00000XCase Management6401007670MICHIGANNo
2251C00000XDay Training, Developmentally Disabled ServicesYes
3253Z00000XIn Home Supportive Care6401007670MICHIGANNo

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: 5/5/2024

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