BRUNETTE'S ADULT RESIDENTIAL CARE FACILITY, INC. (NPI# 1477636512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477636512 |
| Entity Type | Organization |
| Organization Name | BRUNETTE'S ADULT RESIDENTIAL CARE FACILITY, INC. |
| Practice Address |
9051 Whitehorn St Romulus MI 48174-4152 |
| Practice Telephone | 7347210102 |
| Practice Fax Number | 7347212901 |
| Mailing Telephone | 7347210102 |
| Mailing Fax Number | 7347212901 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. GLORIA A. LOVE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3133780322 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | MI | Residential Treatment Facilities |
| Street Address |
9051 WHITEHORN ST |
| City | ROMULUS |
| State | MI |
| Zip Code | 48174-4152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417447947 | Pamela Ann Kaczor | Nurse Practitioner | 28721 Northline Rd, Romulus, MI 48174 | 2018-05-10 |
| 1750806469 | Demetrius Kirk | Registered Nurse | 30075 Spain, Romulus, MI 48174 | 2017-08-03 |
| 1982133302 | Tamika Lloyd | Non-emergency Medical Transport (VAN) | 6002 Bay Hill Ct, Romulus, MI 48174 | 2017-06-08 |
| 1811346422 | Maxine Vernette Hawk | Nurse Practitioner | 39061 Commons Dr., Romulus, MI 48174 | 2016-06-06 |
| 1164880282 | Lacara Gilmore | Counselor | 15056 Colbert St, 03, Romulus, MI 48174 | 2016-02-03 |
| 1982082632 | Kristin Michelle Rhan | Licensed Practical Nurse | 10195 Diane St. Apt302, Romulus, MI 48174 | 2015-05-14 |
| 1790176790 | Dylan Marie Feil | Social Worker | 37300 Wick Rd, Romulus, MI 48174 | 2015-02-11 |
| 1285053710 | Janeise Daniels | Licensed Practical Nurse | 9426 Lisa, Romulus, MI 48174 | 2014-04-14 |
| 1699119461 | James A. Lee | Counselor | C/o Reliance Counseling, LLC, 11126 Wayne Rd., Romulus, MI 48174 | 2013-04-24 |
| 1922302132 | Covenant To Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37292 Mcbride, Romulus, MI 48174 | 2011-01-03 |
| Find all providers in zip 48174 | ||||
| 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 |
|---|---|---|---|---|
| 1922302132 | Covenant To Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37292 Mcbride, Romulus, MI 48174 | 2011-01-03 |
| 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.