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HURON PERSONAL CARE HOME NPI 1376816611


NPI Information

NPI: 1376816611
Provider Name: HURON PERSONAL CARE HOME
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
350 W HURON ST
PONTIAC, MI
ZIP 48341
Phone: (248) 332-1780
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HURON PERSONAL CARE HOME is an adult care home custodial care facility in Pontiac, 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. HURON PERSONAL CARE HOME NPI is 1376816611. The provider is registered as an organization entity type.

The provider's business location address is:

350 W HURON ST
PONTIAC, MI
ZIP 48341-422
Phone: (248) 332-1780
Fax: (248) 332-1710

The provider's authorized official is Lottie Grace Caffee .
The authorized official title is Provider/owner and has the following contact phone number (248) 332-1780.

The enumeration date for this NPI number is 2/16/2012 and was last updated on 2/16/2012.


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
1311ZA0620XCustodial Care FacilityAdult Care HomeAM630009309MICHIGANYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12118627MEDICAIDMICHIGAN

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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