Homelife, Inc.
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Kalamazoo, MI
NPI 1700399409 · NPPES record last updated Nov 16, 2017
Key facts
- NPI
- 1700399409
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- License
- AS390087990 (MI)
- Legal business name
- HOMELIFE, INC.
- Practice address
- 5359 N 8TH St
Kalamazoo, MI 49009-8876 - Phone
- (269) 353-8869
- Fax
- (269) 353-8879
- NPI assigned
- Nov 16, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- HOMELIFE, INC.
Authorized official
- Name
- Mr. Barry J. Bruns
- Title
- President
- Phone
- (269) 660-0854
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Homelife Inc
- Part of
- Homelife Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | AS390087990 | MI | Yes |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
5359 N 8TH St
Kalamazoo, MI 49009-8876
Mailing address
PMB 360
5420A Beckley Road
Battle Creek, MI 49015-4181
Phone (269) 660-0854
Other names
- 5359 North 8th Street AFC
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- Homelife, Inc
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- Haylee Homister
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All providers in Kalamazoo, MI · Mental Illness Community Based Residential Treatment Facility in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.