BOYS TO MEN GROUP HOME, LLC (NPI# 1659621597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659621597 |
| Entity Type | Organization |
| Organization Name | BOYS TO MEN GROUP HOME, LLC |
| Practice Address |
6025 Litchfield Ln Kalamazoo MI 49009-9128 |
| Practice Telephone | 2692548444 |
| Mailing Telephone | 2692548444 |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2012-09-18 |
| Authorized Official Name | MR. ANTHONY POPLAR (CO-OWNER) |
| Authorized Official Telephone | 2699989343 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | BOYS TO MEN GROUP HOME, LLC | 6023 Litchfield Ln, Kalamazoo, MI 49009-9128 |
| Street Address |
6025 LITCHFIELD LN |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49009-9128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235222 | Cherian Counseling Pllc | Marriage & Family Therapist | 4341 W Nestnedge Avenue #1201, Kalamazoo, MI 49009 | 2018-05-16 |
| 1316450901 | Joslyn Aneice Johnson | Student in an Organized Health Care Education/Training Program | 1521 Summer Ridge Dr. Apt. A, Kalamazoo, MI 49009 | 2017-11-06 |
| 1063931160 | Morgan Lee Baughman | Social Worker | 2555 S 11th St. Suite B, Kalamazoo, MI 49009 | 2017-09-11 |
| 1811416845 | Karen Sue Franks | Registered Nurse | 615 E. Crosstown Parkway, Kalamazoo, MI 49009 | 2017-09-11 |
| 1780102327 | Jonathan Robert Klok | Counselor | 6963 West Kl Ave. Suite A, Kalamazoo, MI 49009 | 2017-09-04 |
| 1730624339 | Optimed Health Partners Inc | Home Infusion | 6480 Technology Ave Suite A, Kalamazoo, MI 49009 | 2017-01-05 |
| 1063961860 | Christine Murphy Lee | Physician Assistant | 6565 West Main St, Westside Family Medical Center, P.c, Kalamazoo, MI 49009 | 2016-09-22 |
| 1558732297 | West Point Optical Group | Optometrist | 575 S Drake Rd, Kalamazoo, MI 49009 | 2015-10-07 |
| 1386021012 | Leonora Tarantino | Physical Therapist | 9303 W P Ave, Kalamazoo, MI 49009 | 2015-05-01 |
| 1720474836 | Alyssa Sutter | Rehabilitation Practitioner | 5990 Venture Park Dr., Kalamazoo, MI 49009 | 2015-04-15 |
| Find all providers in zip 49009 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902156359 | Ian Warnsley | Residential Treatment Facility, Emotionally Disturbed Children | 1204 Jenks Blvd, Kalamazoo, MI 49006-2179 | 2012-09-13 |
| 1750618419 | Lakeside for Children | Residential Treatment Facility, Emotionally Disturbed Children | 3921 Oakland Dr, Kalamazoo, MI 49008-4819 | 2009-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316393408 | Charles and Rose Kelley Open Arms | Residential Treatment Facility, Emotionally Disturbed Children | 718 Somerset Rd, Saginaw, MI 48638-6262 | 2016-05-09 |
| 1063786168 | Adolescence In Motion | Residential Treatment Facility, Emotionally Disturbed Children | 237 N Old Woodward Ave Ste 5, Birmingham, MI 48009-5305 | 2012-03-07 |
| 1518110386 | Don Bosco Hall | Residential Treatment Facility, Emotionally Disturbed Children | 10001 Petoskey Ave, Detroit, MI 48204-3908 | 2008-10-24 |
| 1487841730 | The Salvation Army Denby Center | Residential Treatment Facility, Emotionally Disturbed Children | 20775 Pembroke Ave, Detroit, MI 48219-1345 | 2007-10-01 |
| 1003022922 | Dalila Joy Beard | Residential Treatment Facility, Emotionally Disturbed Children | 2300 N Adrian Hwy, Adrian, MI 49221-1728 | 2007-05-15 |
| 1720123706 | Highfields | Residential Treatment Facility, Emotionally Disturbed Children | 1206 Clinton Rd, Jackson, MI 49202-2005 | 2007-02-20 |
| 1154472710 | Boys & Girls Republic | Residential Treatment Facility, Emotionally Disturbed Children | 28000 W 9 Mile Rd, Farmington Hills, MI 48336-3812 | 2007-01-12 |
| 1659428167 | Methodist Children's Home Society | Residential Treatment Facility, Emotionally Disturbed Children | 26645 W 6 Mile Rd, Redford, MI 48240-2319 | 2007-01-05 |
| 1477639458 | Vista Maria | Residential Treatment Facility, Emotionally Disturbed Children | 20651 W Warren Ave, Dearborn Heights, MI 48127-2622 | 2006-10-31 |
| 1407939010 | Childrens's Home of Detroit | Residential Treatment Facility, Emotionally Disturbed Children | 900 Cook Rd, Grosse Pointe Woods, MI 48236-2713 | 2006-10-24 |
| 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.