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MY BELOVED GROUP HOME NPI 1841577103


NPI Information

NPI: 1841577103
Provider Name: MY BELOVED GROUP HOME

Doing Business As: MY BELOVED HOME

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
24260 RADCLIFT ST
OAK PARK, MI
ZIP 48237
Phone: (248) 470-0063
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MY BELOVED GROUP HOME is a community based residential treatment facility mental illness in Oak Park, MI. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. MY BELOVED GROUP HOME NPI is 1841577103. The provider is registered as an organization entity type.
The provider Is Doing Business As My Beloved Home.

The provider's business location address is:

24260 RADCLIFT ST
OAK PARK, MI
ZIP 48237-558
Phone: (248) 470-0063
Fax: (248) 565-8527

The provider's authorized official is Theressa Antionette Nelson .
The authorized official title is Administrator and has the following contact phone number (248) 470-0063.

The enumeration date for this NPI number is 11/14/2011 and was last updated on 11/14/2011.


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 IllnessAS630309555MICHIGANYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.