MICHIGAN HOUSE INC. (NPI# 1467060053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467060053 |
| Entity Type | Organization |
| Organization Name | MICHIGAN HOUSE INC. |
| Other Organization Name | MICHIGAN HOUSE 1 |
| Practice Address |
1224 E Michigan Ave Fresno CA 93704-5731 |
| Mailing Address |
2014 Tulare St Ste 414 Fresno CA 93721-2015 |
| Practice Telephone | 5592273454 |
| Mailing Telephone | 5593477627 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | SENA STREETS (ADMINISTRATION) |
| Authorized Official Telephone | 5593477627 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Michigan House 1 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112563 | Michigan House Inc. | Community Based Residential Treatment Facility, Mental Illness | 1209 S Hughes Ave, Fresno, CA 93706-2321 | 2020-07-29 |
| Street Address |
1224 E MICHIGAN AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93704-5731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700497815 | Kaila Briggs | Counselor | 1224 E Michigan Ave, Fresno, CA 93704-5731 | 2020-08-12 |
| 1013528371 | Katie James | Counselor | 1224 E Michigan Ave, Fresno, CA 93704-5731 | 2020-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093090466 | Jennifer H Yun | Pharmacist | 5747 North Palm, Fresno, CA 93704 | 2011-10-18 |
| 1437395704 | Kenneth L. Hallstone | Marriage & Family Therapist | 4040 N. Wilson St., Fresno, CA 93704 | 2008-12-17 |
| 1811147796 | Kenneth S. Masumoto Dds Inc | Dentist | 430 W. Shaw, Fresno, CA 93704 | 2008-09-26 |
| 1578760526 | Wanda Kay Gordon Mcintosh | Social Worker | 5588 N Palm Ave # 10, Fresno, CA 93704 | 2007-07-02 |
| 1285839456 | Alison Elise Armstrong-conner | Psychologist | 6475 N. Palm Avenue, Suite 101, Fresno, CA 93704 | 2007-06-18 |
| 1952519498 | Henry Truong | Student in an Organized Health Care Education/Training Program | 615 E. Clinton Ave., Fresno, CA 93704 | 2007-05-18 |
| 1205042900 | Michelle Kathleen Gash | Clinic/Center | 5464 N Palm Ave # 101, Fresno, CA 93704 | 2007-05-16 |
| 1467674705 | Loyds Liberty Homes, Inc | Intermediate Care Facility, Mentally Retarded | 6520 North Colonial, Fresno, CA 93704 | 2007-05-03 |
| 1952522559 | Dawn Keisha Denise Aholu | Occupational Therapist | 5180 N. Palm, Suite 102, Fresno, CA 93704 | 2007-05-01 |
| 1235359191 | Yolanda Rodriguez Andreatta | Dental Hygienist | 310 W Shaw, Fresno, CA 93704 | 2007-04-25 |
| Find all providers in zip 93704 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326645904 | New Passages Group Home, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5675 E Ashlan Ave, Fresno, CA 93727-7220 | 2020-10-06 |
| 1346877594 | 2nd Home Incorporated | Community Based Residential Treatment Facility, Mental Illness | 3239 E Tenaya Way, Fresno, CA 93710-5924 | 2020-03-26 |
| 1174185722 | Dn Associates | Community Based Residential Treatment Facility, Mental Illness | 3793 N Polk Ave, Fresno, CA 93722-9763 | 2019-07-03 |
| 1770143646 | Core Conditions, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3765 W Dakota Ave, Fresno, CA 93722-4784 | 2019-06-13 |
| 1891354023 | Core Conditions, Inc. | Community Based Residential Treatment Facility, Mental Illness | 114 S Brawley Ave, Fresno, CA 93706-2103 | 2019-06-11 |
| 1245725506 | Promesa Behavioral Health-barstow | Community Based Residential Treatment Facility, Mental Illness | 1415 W Barstow Ave, Fresno, CA 93711 | 2018-06-28 |
| 1093892663 | Crestwood Behavioral Health, Inc. | Community Based Residential Treatment Facility, Mental Illness | 153 N U St, Fresno, CA 93701-2438 | 2006-11-01 |
| 1972112563 | Michigan House Inc. | Community Based Residential Treatment Facility, Mental Illness | 1209 S Hughes Ave, Fresno, CA 93706-2321 | 2020-07-29 |
| 1063021921 | Hope for Youth, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4324 W Harvard Ave, Fresno, CA 93722-5183 | 2020-07-27 |
| 1033727326 | Manuch Inc. | Community Based Residential Treatment Facility, Mental Illness | 5610 W Donner Ave, Fresno, CA 93722-3721 | 2020-07-22 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.