Healthcare Provider Details

I. General information

NPI: 1891849246
Provider Name (Legal Business Name): HOMELIFE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 HERITAGE OAK LN
BATTLE CREEK MI
49015-4262
US

IV. Provider business mailing address

5420A BECKLEY ROAD PMB 234
BATTLE CREEK MI
49015
US

V. Phone/Fax

Practice location:
  • Phone: 269-660-0854
  • Fax: 269-660-0964
Mailing address:
  • Phone: 269-660-0854
  • Fax: 269-660-0964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateMI
# 5
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateMI
# 6
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateMI

VIII. Authorized Official

Name: BARRY J BRUNS
Title or Position: PRESIDENT
Credential:
Phone: 269-660-0854