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HOMELIFE INC. NPI 1306359005


NPI Information

NPI: 1306359005
Provider Name: HOMELIFE, INC.

Other Name: 9445 N. 24TH STREET AFC

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
9445 N 24TH ST
RICHLAND, MI
ZIP 49083
Phone: (269) 488-0024
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HOMELIFE, INC. is a community based residential treatment facility mental illness in Richland, 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 1306359005. The provider is registered as an organization entity type.
The provider Other Name Is 9445 N. 24th Street Afc.

The provider's business location address is:

9445 N 24TH ST
RICHLAND, MI
ZIP 49083-515
Phone: (269) 488-0024
Fax: (269) 488-0025

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
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessAS390281218MICHIGANYes
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: 5/5/2024

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