824 W. KALAMAZOO
NPI 1255844965
Community Based Residential Treatment Facility, Mental Illness in Kalamazoo, MI

NPI Status: Active since November 16, 2017

Contact Information

824 W KALAMAZOO AVE
KALAMAZOO, MI
ZIP 49007
Phone: (269) 373-8815
Fax: (269) 373-4812

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About 824 W. KALAMAZOO

This page provides the complete NPI Profile along with additional information for 824 W. Kalamazoo, a provider established in Kalamazoo, Michigan operating as a Community Based Residential Treatment Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1255844965 assigned on November 2017. The practitioner's primary taxonomy code is 320800000X with license number AM390084283 (MI). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's other name is 824 W. Kalamazoo. The authorized official of this NPI record is Mr. Barry J. Bruns (President)

NPI
1255844965
Provider Legal Name
HOMELIFE, INC.
Other Organization Name
824 W. KALAMAZOO
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
824 W KALAMAZOO AVE KALAMAZOO, MI 49007
Location Phone
(269) 373-8815
Location Fax
(269) 373-4812
Mailing Address
PMB 360 5420A BECKLEY ROAD BATTLE CREEK, MI 49015
Mailing Phone
(269) 660-0854
Mailing Fax
(269) 373-4812
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-16-2017
Last Update Date
11-16-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Based Residential Treatment Facility, Mental Illness

Taxonomy Code
320800000X
Type
Residential Treatment Facilities
License No.
AM390084283
License State
MI
Taxonomy Description
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1320900000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. BARRY J. BRUNS

Authorized Official Title
PRESIDENT
Authorized Official Phone
(269) 660-0854

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255844965
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221051648912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 6 + 4 + 8 + 9 + 1 + 2 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1255844965 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255844965, enumerated in the NPI registry as an "organization" on November 16, 2017

The provider is located at 824 W Kalamazoo Ave Kalamazoo, Mi 49007 and the phone number is (269) 373-8815

This medical organization specializes in Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X

This NPI record was last updated on November 16, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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