CHAMBERLAIN HOUSE INC
NPI 1407382922
Foster Care Agency in Pontiac, MI

Active since May 03, 2017
121 CHAMBERLAIN ST, PONTIAC, MI 48342(248) 335-1370 Get Directions Write a Review

NPPES record last updated: May 3, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Foster Care Agency

About CHAMBERLAIN HOUSE INC

This page provides the complete NPI Profile along with additional information for Chamberlain House Inc, a provider established in Pontiac, Michigan operating as a Foster Care Agency. The healthcare provider is registered in the NPI registry with number 1407382922 assigned on May 2017. The practitioner's primary taxonomy code is 253J00000X with license number AG630000027 (MI). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's former legal business name is Parents Foundation For The Mentally Retarted. The authorized official of this NPI record is Janan Kallabat (Administrator)

NPI
1407382922 Verify this NPI
Provider Legal Name
CHAMBERLAIN HOUSE INC
Other Organization Name
PARENTS FOUNDATION FOR THE MENTALLY RETARTED
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
121 CHAMBERLAIN ST PONTIAC, MI 48342
Location Phone
(248) 335-1370
Mailing Address
121 CHAMBERLAIN ST PONTIAC, MI 48342
Mailing Phone
(248) 335-1370
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2017
Last Update Date
05-03-2017
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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

Foster Care Agency

Taxonomy Code
253J00000X
Type
Agencies
License No.
AG630000027
License State
MI
Taxonomy Description
A Foster Care Agency is an agency that provides foster care as defined in the Code of Federal Regulations (CFR) as 24-hour substitute care for children outside their own homes. Foster care settings include, but are not limited to, nonrelative foster family homes, relative foster homes (whether payments are being made or not), group homes, emergency shelters, residential facilities, and pre-adoptive homes.

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

JANAN KALLABAT

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(248) 335-1370

Reviews for CHAMBERLAIN HOUSE INC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Community/Behavioral Health
121 CHAMBERLAIN ST
PONTIAC, MI 48342

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407382922, enumerated as an "organization" on May 03, 2017.

The provider is located at 121 CHAMBERLAIN ST PONTIAC, MI 48342 and the phone number is (248) 335-1370.

Foster Care Agency with taxonomy code 253J00000X.