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BLUE MOON HOUSE
NPI 1467725234
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Bloomingdale, MI

Active since February 09, 2012
130 45TH ST, BLOOMINGDALE, MI 49026(269) 521-4500 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Blue Moon House NPPES

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

BLUE MOON HOUSE (NPI 1467725234) 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 February 2012. The organization lists Rebecca Mae Forbes, Sole Proprietor, as its authorized official.

NPPES Registry Identity

NPI1467725234
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameREBECCA MAE FORBES
Location Address130 45TH STBloomingdale, MI 49026-9502
Mailing Address130 45th StBloomingdale, MI 49026-9502 · (269) 521-4500
Phone(269) 521-4500
Organization SubpartNo
Authorized OfficialRebecca Mae ForbesSole Proprietor · (269) 521-4500
Enumeration DateFebruary 9, 2012
✔ NPI 1467725234 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 · AS030265913
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.
130 45TH ST, Bloomingdale, MI 49026
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Other Names 1

Doing Business AsBlue Moon House

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 Rebecca Mae Forbes's NPI number?

The NPI number for Rebecca Mae Forbes is 1467725234. It was assigned to this organization in the NPPES registry on February 9, 2012. The provider is doing business as Blue Moon House.

Where is Rebecca Mae Forbes located?

Rebecca Mae Forbes is located at 130 45th St, Bloomingdale, MI 49026. The listed phone number is (269) 521-4500.

What is Rebecca Mae Forbes'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 Rebecca Mae Forbes was last updated on February 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.