DOMEL INCORPORATED NPI 1467660688

NPI Information

NPI: 1467660688
Provider Name: DOMEL INCORPORATED
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
39293 PLYMOUTH RD STE 112
LIVONIA, MI
ZIP 48150
Phone: (734) 632-0125
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DOMEL INCORPORATED is a community based residential treatment facility, intellectual and/or developmental disabilities in Livonia, 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. DOMEL INCORPORATED NPI is 1467660688. The provider is registered as an organization entity type.

The provider's business location address is:

39293 PLYMOUTH RD STE 112
LIVONIA, MI
ZIP 48150-060
Phone: (734) 632-0125
Fax: (734) 632-0126

The provider's authorized official is Shawn Timothy Brown .
The authorized official title is Executive Program Manager and has the following contact phone number (734) 632-0125.

The enumeration date for this NPI number is 5/20/2007 and was last updated on 8/22/2020.

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	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	MICHIGAN	No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	MICHIGAN	No
3	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	MICHIGAN	No
4	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	MICHIGAN	No
5	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	MICHIGAN	No
6	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	MICHIGAN	No
7	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	MICHIGAN	No
8	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	MICHIGAN	No
9	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	MICHIGAN	No
10	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	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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