Organization Active NPI

Embraced Residential Living LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Kalamazoo, MI
National Provider Identifier
1447120712
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
EMBRACED RESIDENTIAL LIVING LLC
Practice address
712 Egleston Ave
Kalamazoo, MI 49001-3867
Phone
(269) 202-8933
Fax
(269) 234-2223
NPI assigned
Nov 10, 2025
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Stephanie Dean
Title
Owner
Phone
(269) 202-8933

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

712 Egleston Ave
Kalamazoo, MI 49001-3867

Mailing address

712 Egleston Ave
Kalamazoo, MI 49001-3867
Phone (269) 202-8933

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1447120712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 EGLESTON AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490013867",
            "telephone_number": "269-202-8933",
            "fax_number": "269-234-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 EGLESTON AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490013867",
            "telephone_number": "269-202-8933",
            "fax_number": "269-234-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACED RESIDENTIAL LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-202-8933"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.