MIZPAH GROUP HOME INC (NPI# 1467758789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467758789 |
| Entity Type | Organization |
| Organization Name | MIZPAH GROUP HOME INC |
| Practice Address |
31058 Wheaton 201 New Hudson MI 48165-9469 |
| Practice Telephone | 2487962639 |
| Mailing Telephone | 2487962639 |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |
| Authorized Official Name | MR. ALONZO KEVIN MORGAN SR. (PRESIDENT) |
| Authorized Official Telephone | 2487962639 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811429798 | Mizpah Group Home Inc | Public Health or Welfare | 24375 Lafayette Cir, Southfield, MI 48075-2560 | 2017-03-30 |
| Street Address |
31058 WHEATON 201 |
| City | NEW HUDSON |
| State | MI |
| Zip Code | 48165-9469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609105634 | Alonzo Kevin Morgan Sr. | Contractor | 31058 Wheaton, 201, New Hudson, MI 48165-9469 | 2009-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306346663 | Barbara Burrows | Massage Therapist | 30800 South Hill Rd, New Hudson, MI 48165 | 2018-02-13 |
| 1679976526 | Grand River Medical Associates, Pllc | Internal Medicine | 55840 Grand River Ave., Suite 300, New Hudson, MI 48165 | 2014-10-07 |
| 1497804165 | New Hudson Chiropractic & Wellness Center, P.C. | Chiropractor | 30033 Shefpo Drive, New Hudson, MI 48165 | 2007-01-10 |
| 1578596367 | Paula Lynn Ruffin | Chiropractor | 30033 Shefpo, New Hudson, MI 48165 | 2006-07-08 |
| 1073562989 | Jai Chamuda New Hudson LLC | Durable Medical Equipment & Medical Supplies | 56270 Grand River Ave, New Hudson, MI 48165 | 2006-05-08 |
| 1235496951 | Katharine D Lounsberry | Family Medicine | 30488 Milford Rd, New Hudson, MI 48165 | 2012-04-19 |
| 1801920160 | Jonathan Mark Michels | Dentist | 30033 Shefpo St, New Hudson, MI 48165-0127 | 2007-03-16 |
| 1265915540 | Healthshine Solutions Inc | Physical Therapist | 28413 Abbey Ln, New Hudson, MI 48165-2801 | 2018-09-12 |
| 1861624629 | Clo Ann Palmer | Licensed Practical Nurse | 28060 Tremonte Dr, New Hudson, MI 48165-8000 | 2009-08-12 |
| 1184170078 | Devon Gilbert | Registered Nurse | 28252 Mill River Blvd, New Hudson, MI 48165-8125 | 2016-08-30 |
| Find all providers in zip 48165 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063810 | Nc Recovery House LLC | Substance Abuse Rehabilitation Facility | 777 Colfax Ave, Benton Harbor, MI 49022-7406 | 2020-05-06 |
| 1235789074 | Green Castle Recovery Centers, LLC. | Substance Abuse Rehabilitation Facility | 233 Fulton St E Ste 101, Grand Rapids, MI 49503-3262 | 2019-09-13 |
| 1043773047 | New Paths, Inc. | Substance Abuse Rehabilitation Facility | 909 Martin Luther King Ave, Flint, MI 48503-1488 | 2019-04-08 |
| 1831651330 | Bethany House Recovery House | Substance Abuse Rehabilitation Facility | 722 S Rose St, Kalamazoo, MI 49007-5216 | 2019-04-03 |
| 1639631138 | Hope House Recovery House | Substance Abuse Rehabilitation Facility | 131 S Nottawa St, Sturgis, MI 49091-1736 | 2019-04-03 |
| 1811459324 | Healing House | Substance Abuse Rehabilitation Facility | 721 S Rose St Apt B, Kalamazoo, MI 49007-6200 | 2019-04-03 |
| 1669932109 | Inner Man Wellness and Support Services | Substance Abuse Rehabilitation Facility | 4890 Ballantrae Rd, Bloomfield, MI 48301-1000 | 2019-03-21 |
| 1528526266 | Mid-michigan Recovery Center | Substance Abuse Rehabilitation Facility | 3821 N Grant Ave, Harrison, MI 48625-9606 | 2019-03-12 |
| 1316410681 | The Light Treatment & Rehabilitation LLC | Substance Abuse Rehabilitation Facility | 5380 Kreger St, Sterling Heights, MI 48310-5728 | 2019-01-09 |
| 1306321179 | Yarrow Lodge, LLC | Substance Abuse Rehabilitation Facility | 10677 N 48th Street, Augusta, MI 49012 | 2018-09-27 |
| Find all providers with the same taxonomy | ||||
| City | NEW HUDSON |
| Zip Code | 48165 |
Please comment or provide details below to improve the information on MIZPAH GROUP HOME INC.
| 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.