TIMOTHY ALAN RANTZ NPI 1326675950

NPI Information

NPI: 1326675950
Provider Name: TIMOTHY ALAN RANTZ
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Individual

Specialization: Adult Care Home

Address:
1564 N M 63
BENTON HARBOR, MI
ZIP 49022
Phone: (269) 429-6176
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Timothy Alan Rantz is an adult care home custodial care facility in Benton Harbor, MI. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. Timothy Alan Rantz NPI is 1326675950. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1564 N M 63
BENTON HARBOR, MI
ZIP 49022-759
Phone: (269) 429-6176

The enumeration date for this NPI number is 3/24/2020 and was last updated on 3/29/2024.

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
1	311ZA0620X	Custodial Care Facility	Adult Care Home	AS110301777	MICHIGAN	Yes

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

NPI Synchronization or Removal

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