HOMELIFE, INC (NPI# 1033623798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033623798 |
| Entity Type | Organization |
| Organization Name | HOMELIFE, INC |
| Other Organization Name | 10745 SOUTH 12TH STREET AFC |
| Practice Address |
10745 South 12th Street Schoolcraft MI 49087-8408 |
| Mailing Address |
5420a Beckley Road, Pmb 360 Battle Creek MI 49015-4181 |
| Practice Telephone | 2694887657 |
| Practice Fax Number | 2694887658 |
| Mailing Telephone | 2696600854 |
| Mailing Fax Number | 2696600964 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |
| Authorized Official Name | MR. BARRY J BRUNS (PRESIDENT) |
| Authorized Official Telephone | 2696600854 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOMELIFE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | AS390350854 | MI | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| 10745 South 12th Street AFC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770097461 | Homelife, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6595 Ravine Road, Kalamazoo, MI 49009-9075 | 2017-11-17 |
| 1598279283 | Homelife, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7519 S. 10th Street, Kalamazoo, MI 49009-8946 | 2017-11-17 |
| 1477066173 | Homelife, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 691 W. Bridge Street, Plainwell, MI 49080-1507 | 2017-11-16 |
| 1932612645 | Homelife, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6457 North Sprinkle Road, Kalamazoo, MI 49004-8646 | 2017-11-16 |
| 1891849246 | Homelife, Inc | Community Based Residential Treatment Facility, Mental Illness | 3 Heritage Oak Ln, Battle Creek, MI 49015-4262 | 2007-01-23 |
| Street Address |
10745 SOUTH 12TH STREET |
| City | SCHOOLCRAFT |
| State | MI |
| Zip Code | 49087-8408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497128946 | Fms Kalamazoo, LLC | Clinic/Center | 12180 N. Us 131 Hwy, Schoolcraft, MI 49087 | 2015-11-05 |
| 1912257130 | Stephanie Marie Peterson | Behavioral Analyst | 11583 S. 8th St., Schoolcraft, MI 49087 | 2012-09-14 |
| 1992008221 | Amy Taylor Johnson | Occupational Therapist | 4317 West U Avenue, Schoolcraft, MI 49087 | 2010-12-08 |
| 1467646323 | Norma Jean Julien | Contractor | 115 S Grand, Schoolcraft, MI 49087 | 2007-09-04 |
| 1831310093 | Scott Anthony Mais | Chiropractor | 115 South Grand Street, Schoolcraft, MI 49087 | 2007-05-02 |
| 1902882426 | Freds Super Pharmacy Inc | Pharmacist | 131 N Grand St, Schoolcraft, MI 49087 | 2005-12-16 |
| 1891989950 | Mais Chiropractic Clinic, PC | Chiropractor | 115 S. Grand Ave., Schoolcraft, MI 49087-0337 | 2007-08-31 |
| 1124057500 | Eric M Graham | Pharmacist | 311 N Grand St, Schoolcraft, MI 49087-5110 | 2006-06-30 |
| 1255859419 | Joanna Olsen | Nurse Practitioner | 311 N Grand St, Schoolcraft, MI 49087-5110 | 2017-09-07 |
| 1639623747 | Danielle Buchheit | Counselor | 311 N Grand St, Schoolcraft, MI 49087-5110 | 2016-08-05 |
| Find all providers in zip 49087 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083237051 | Twin Doves I LLC | Community Based Residential Treatment Facility, Mental Illness | 48617 36th Ave., Bangor, MI 49013 | 2020-05-25 |
| 1104452812 | New Vision of Integrative Services, Inc | Community Based Residential Treatment Facility, Mental Illness | 3505 Walnut St Ste C, Inkster, MI 48141-2952 | 2020-03-14 |
| 1124665054 | Baseline, L.L.C. | Community Based Residential Treatment Facility, Mental Illness | 122 W Crosstown Pkwy, Kalamazoo, MI 49001-2742 | 2019-12-10 |
| 1407491277 | Twin Doves II LLC | Community Based Residential Treatment Facility, Mental Illness | 40739 80th Ave, Decatur, MI 49045-8158 | 2019-11-15 |
| 1710528617 | Larry J Graham Jr. | Community Based Residential Treatment Facility, Mental Illness | 1284 Maurer Ave, Pontiac, MI 48342-1960 | 2019-10-01 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1669937603 | Community Living Options | Community Based Residential Treatment Facility, Mental Illness | 1206 Bronson Cir, Kalamazoo, MI 49008-2325 | 2019-02-04 |
| 1235607854 | Csm Serenity Homes, LLC | Community Based Residential Treatment Facility, Mental Illness | 1714 W 32nd St, Holland, MI 49423-7311 | 2018-11-13 |
| 1750859229 | The Noble Home II, Inc | Community Based Residential Treatment Facility, Mental Illness | 327 E Grand Blvd, Detroit, MI 48207-3616 | 2018-11-02 |
| 1679048870 | Neighborhood Living Services,inc. | Community Based Residential Treatment Facility, Mental Illness | 23001 Norfolk St, Detroit, MI 48219-1185 | 2018-10-04 |
| Find all providers with the same taxonomy | ||||
| City | SCHOOLCRAFT |
| Zip Code | 49087 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.