NPIMap

Organization Active NPI

Henlyn Care, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Ann Arbor, MI
National Provider Identifier
1942865720
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
HENLYN CARE, INC.
Practice address
1132 Clair Cir
Ann Arbor, MI 48103-3023
Phone
(734) 545-0188
Fax
(734) 663-9080
NPI assigned
May 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Authorized official

Name
Jacquelyn Gillum, OWNERNPI 1295207686
Title
President
Phone
(734) 545-0188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1132 Clair Cir
Ann Arbor, MI 48103-3023

Mailing address

PO Box 2562
Ann Arbor, MI 48106-2562
Phone (734) 663-9080

Other names 1

  • Henlyn Care, Inc. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1942865720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2562",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481062562",
            "telephone_number": "734-663-9080",
            "fax_number": "734-663-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 CLAIR CIR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033023",
            "telephone_number": "734-545-0188",
            "fax_number": "734-663-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENLYN CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "GILLUM",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-545-0188",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "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": [
        {
            "organization_name": "Henlyn Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Henlyn Care, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.