HERNANDEZ HOME LLC (NPI# 1124310818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124310818 |
| Entity Type | Organization |
| Organization Name | HERNANDEZ HOME LLC |
| Practice Address |
94 45th St Bloomingdale MI 49026-9502 |
| Mailing Address |
P.o. Box 277 Bloomingdale MI 49026 |
| Practice Telephone | 2696282100 |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |
| Authorized Official Name | TRACIE HERNANDEZ (CEO) |
| Authorized Official Telephone | 2696282100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | AS030282002 | MI | Residential Treatment Facilities |
| Street Address |
94 45TH ST |
| City | BLOOMINGDALE |
| State | MI |
| Zip Code | 49026-9502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962839936 | Cozy Hill A.f.c. L.L.C. | Assisted Living Facility | 09441 44th Street, Bloomingdale, MI 49026 | 2013-10-04 |
| 1245242676 | Bethany Care Center L.l.c | Skilled Nursing Facility | 42235 County Road 390, Bloomingdale, MI 49026-8753 | 2006-08-13 |
| 1962980334 | Lisa Michelle Glass | Occupational Therapist | 42235 County Road 390, Bloomingdale, MI 49026-8753 | 2018-07-29 |
| 1336635572 | Erika Kristine Rockenstein | Occupational Therapist | 42235 County Road 390, Bloomingdale, MI 49026-8753 | 2018-07-10 |
| 1730364324 | Bloomingdale Care Operating Co LLC | Skilled Nursing Facility | 42235 County Road 390, Bloomingdale, MI 49026-8753 | 2008-01-02 |
| 1467725234 | Rebecca Mae Forbes | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 130 45th St, Bloomingdale, MI 49026-9502 | 2012-02-09 |
| 1700943305 | Breeze Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 06899 44th St, Bloomingdale, MI 49026-9706 | 2007-01-02 |
| 1205006640 | Daniel A. King | Durable Medical Equipment & Medical Supplies | 06899 44th St, Bloomingdale, MI 49026-9706 | 2008-02-29 |
| 1891268611 | Companion Care Ih-home Help Aides, LLC | Home Health | 602 E Kalamazoo St, Bloomingdale, MI 49026-9729 | 2019-01-03 |
| 1891221842 | Allegan County 4-h Clubs | Respite Care | 39000 1st Ave, Bloomingdale, MI 49026-9743 | 2017-05-11 |
| Find all providers in zip 49026 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467725234 | Rebecca Mae Forbes | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 130 45th St, Bloomingdale, MI 49026-9502 | 2012-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199507 | Laura Lisa Gonzalez | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 7134 Blankenship Cir, Davison, MI 48423-2317 | 2020-09-17 |
| 1558984377 | Angel Patient Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 12601 E Outer Dr, Detroit, MI 48224-4204 | 2020-05-27 |
| 1659990208 | Lydias House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11667 152nd Ave, West Olive, MI 49460-9232 | 2020-04-14 |
| 1124667118 | Alternative Community Living, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2678 S Waverly Hwy, Lansing, MI 48911-6303 | 2019-12-23 |
| 1215579537 | Eden Prairie Residential Care Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 302 Welch Blvd, Flint, MI 48503-1105 | 2019-10-09 |
| 1518428333 | Alternative Adult Residence LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 19163 Woodingham Dr, Detroit, MI 48221-1650 | 2019-03-26 |
| 1245701960 | Teresa Elaine Guzman | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 130 Marvin St, Battle Creek, MI 49017-8040 | 2018-12-06 |
| 1508334764 | Marquette Staffing Agency, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 592 Blemhuber Ave, Marquette, MI 49855-4818 | 2018-11-06 |
| 1912481235 | Adrienne Flowers | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18403 Kentucky St, Detroit, MI 48221-2029 | 2018-09-21 |
| 1417431487 | Helping Hands Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5116 18th Rd, Escanaba, MI 49829-9525 | 2018-09-17 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGDALE |
| Zip Code | 49026 |
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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.