NPIMap

Organization Active NPI

Homelife, Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Schoolcraft, MI
National Provider Identifier
1033623798
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
AS390350854 Issued in MI
Legal business name
HOMELIFE, INC
Practice address
10745 South 12TH Street
Schoolcraft, MI 49087-8408
Phone
(269) 488-7657
Fax
(269) 488-7658
NPI assigned
Nov 16, 2017
Last updated
Nov 16, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
HOMELIFE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Barry J Bruns
Title
President
Phone
(269) 660-0854

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X AS390350854 MI Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU

Addresses

Primary practice location

10745 South 12TH Street
Schoolcraft, MI 49087-8408

Mailing address

5420A Beckley Road, PMB 360
Battle Creek, MI 49015-4181
Phone (269) 660-0854

Other names 1

  • 10745 South 12th Street AFC Other name

National Provider Directory

National Provider Directory
Tax ID family
Homelife Inc13 organizations share this tax ID, including this one
Part of
Homelife Inc

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1033623798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420A BECKLEY ROAD, PMB 360",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154181",
            "telephone_number": "269-660-0854",
            "fax_number": "269-660-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10745 SOUTH 12TH STREET",
            "city": "SCHOOLCRAFT",
            "state": "MI",
            "postal_code": "490878408",
            "telephone_number": "269-488-7657",
            "fax_number": "269-488-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMELIFE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOMELIFE, INC",
        "enumeration_date": "2017-11-16",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "BRUNS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-660-0854",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "AS390350854",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "10745 South 12th Street AFC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Schoolcraft, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.