Healthcare Provider Details

I. General information

NPI: 1184017501
Provider Name (Legal Business Name): NRMI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2015
Last Update Date: 03/05/2023
Certification Date: 03/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 HOLTON WHITEHALL RD
WHITEHALL MI
49461-9543
US

IV. Provider business mailing address

137 HOLTON WHITEHALL RD
WHITEHALL MI
49461-9543
US

V. Phone/Fax

Practice location:
  • Phone: 231-893-1462
  • Fax: 231-894-5855
Mailing address:
  • Phone: 231-893-1462
  • Fax: 231-894-5855

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: BRETT IAN COHEN
Title or Position: COO
Credential:
Phone: 800-388-5150