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HERNANDEZ HOME LLC
NPI 1124310818
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bloomingdale, MI

Active since May 12, 2011
94 45TH ST, BLOOMINGDALE, MI 49026(269) 628-2100 Get Directions Write a Review

NPPES record last updated: May 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Hernandez Home Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERNANDEZ HOME LLC (NPI 1124310818) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Bloomingdale, Michigan and active in the NPI registry since May 2011. The organization lists Tracie Hernandez, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124310818
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameHERNANDEZ HOME LLC
Location Address94 45TH STBloomingdale, MI 49026-9502
Mailing AddressP.o. Box 277Bloomingdale, MI 49026
Phone(269) 628-2100
Organization SubpartNo
Authorized OfficialTracie HernandezCeo · (269) 628-2100
Enumeration DateMay 12, 2011
✔ NPI 1124310818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License✔ Licensed in MI · AS030282002
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
94 45TH ST, Bloomingdale, MI 49026
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hernandez Home LLC's NPI number?

The NPI number for Hernandez Home LLC is 1124310818. It was assigned to this organization in the NPPES registry on May 12, 2011.

Where is Hernandez Home LLC located?

Hernandez Home LLC is located at 94 45th St, Bloomingdale, MI 49026. The listed phone number is (269) 628-2100.

What is Hernandez Home LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Hernandez Home LLC was last updated on May 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.