GRAND TRAVERSE AREA COMMUNITY LIVING CENTERS NON PROFIT HOUSING CORPOR
NPI 1477965036
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Traverse City, MI

Active since May 29, 2014
935 BARLOW ST, TRAVERSE CITY, MI 49686(231) 932-9030(231) 941-3421 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Grand Traverse Area Community Living Centers Non Profit Housing Corpor NPPES

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

GRAND TRAVERSE AREA COMMUNITY LIVING CENTERS NON PROFIT HOUSING CORPOR (NPI 1477965036) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Traverse City, Michigan and active in the NPI registry since May 2014. The organization lists Susan R Onan, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1477965036
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameGRAND TRAVERSE AREA COMMUNITY LIVING CENTERS NON PROFIT HOUSING CORPOR
Location Address935 BARLOW STTraverse City, MI 49686-4250
Mailing Address935 Barlow StTraverse City, MI 49686-4250 · (231) 932-9030 · Fax (231) 941-3421
Fax(231) 941-3421
Organization SubpartNo
Authorized OfficialSusan R OnanExecutive Director · (231) 932-9030
Enumeration DateMay 29, 2014
NPI 1477965036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
License Licensed in MI · AL280006975
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.
Also ListedFoster Care AgencyTaxonomy 253J00000X · License AL280006975 (MI)
935 BARLOW ST, Traverse City, MI 49686

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community Health Worker
935 BARLOW ST
TRAVERSE CITY, MI 49686
Day Training, Developmentally Disabled Services
935 BARLOW ST
TRAVERSE CITY, MI 49686

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 Grand Traverse Area Community Living Centers Non Profit Housing Corpor's NPI number?

The NPI number for Grand Traverse Area Community Living Centers Non Profit Housing Corpor is 1477965036. It was assigned to this organization in the NPPES registry on May 29, 2014.

Where is Grand Traverse Area Community Living Centers Non Profit Housing Corpor located?

Grand Traverse Area Community Living Centers Non Profit Housing Corpor is located at 935 Barlow St, Traverse City, MI 49686. The listed phone number is (231) 932-9030.

What is Grand Traverse Area Community Living Centers Non Profit Housing Corpor'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 Grand Traverse Area Community Living Centers Non Profit Housing Corpor was last updated on May 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.