BRUCE EUGENE PERRAULT (NPI# 1053835678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053835678 |
| Entity Type | Individual |
| Full Name | BRUCE EUGENE PERRAULT |
| Practice Address |
1551 S Hickory Ridge Rd Milford MI 48380-1519 |
| Practice Telephone | (248) 889-3188 |
| Practice Fax Number | 2488893188 |
| Mailing Telephone | 2488893188 |
| Mailing Fax Number | 2488893188 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | AF630081134 | MI | Residential Treatment Facilities |
| Street Address |
1551 S HICKORY RIDGE RD |
| City | MILFORD |
| State | MI |
| Zip Code | 48380-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140420 | Linda Perrault | Custodial Care Facility | 1551 S Hickory Ridge Rd, Milford, MI 48380-1519 | 2020-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710476569 | Amanda Williams | Social Worker | Ignacio L. Vallarta No. 130, #308, Puerto Vallarta, JALISCO 48380 | 2018-05-08 |
| 1851717417 | Operadora Jobara Sa De Cv | General Acute Care Hospital | Manuel M Dieguez No. 360, Col. Emiliano Zapata, Puerto Vallarta, JALISCO 48380 | 2014-03-06 |
| 1578896767 | Colleen Davis | Speech-Language Pathologist | 3123 Delrose St, Milford, MI 48380 | 2009-09-07 |
| 1306356928 | Respectabilities LLC | Home Health | 3045 Hillside Dr, Milford, MI 48380 | 2017-10-10 |
| 1881159952 | Brian Duncan | Acupuncturist | 928 S Tipsico Lake Rd, Milford, MI 48380-1024 | 2019-02-04 |
| 1437364221 | Lynn Marie Gallagher | Speech-Language Pathologist | 1630 Newberry, Milford, MI 48380-1712 | 2007-05-14 |
| 1669945721 | Thomas John Karpinski Jr. | Counselor | 3174 Katie Ln, Milford, MI 48380-2021 | 2019-01-10 |
| 1750921417 | Keisa Lavette Clark | Behavior Technician | 3119 Bradford Ct, Milford, MI 48380-2034 | 2020-01-10 |
| 1447623954 | Sarah Adams | Counselor | 1763 Melody Ln, Milford, MI 48380-2135 | 2015-11-05 |
| 1619911864 | Carl Michael Mueller | Dentist | 4601 Meadowview Ln, Milford, MI 48380-2727 | 2006-06-16 |
| Find all providers in zip 48380 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316473838 | The Arc of Hunterdon County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20 John Lelo Ave, Milford, NJ 08848-1014 | 2017-05-03 |
| 1114063633 | Progressive Health of Pennsylvania Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 110 E Harford St, Milford, PA 18337-1002 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144855123 | Hope Shores, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1383 E Maple Ave, Burton, MI 48529-2059 | 2020-03-10 |
| 1760030183 | Specially Made Co. LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 845 E Summerfield Glen Cir, Ann Arbor, MI 48103-9161 | 2019-08-28 |
| 1033776919 | South Coast Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 72633 M 43, South Haven, MI 49090-8734 | 2019-05-25 |
| 1275001448 | St. Jude's Assisted Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 509 S 22nd St, Escanaba, MI 49829-2247 | 2018-11-06 |
| 1457826315 | Northrop Loving Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17777 Northrop St, Detroit, MI 48219-2321 | 2018-10-08 |
| 1548745961 | Residential Opportunities Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 612 Landsdowne Ave, Portage, MI 49002-0556 | 2018-10-02 |
| 1134604051 | Unity Group II LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 63 Wood Dr, Coldwater, MI 49036-1046 | 2018-09-26 |
| 1578048401 | Unity Group V LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 69 Wood Dr, Coldwater, MI 49036-1046 | 2018-09-26 |
| 1417432337 | Unity Group IIi LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1831 Case Dr, Union City, MI 49094-9348 | 2018-09-26 |
| 1033694963 | Unity Group Iv LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 126 Gail Ann Dr, Coldwater, MI 49036-9327 | 2018-09-26 |
| Find all providers with the same taxonomy | ||||
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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.