BLUE MOON HOUSE – NPI #1467725234
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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.

Health Care Provider Taxonomy Code for Residential Treatment Facility, Intellectual and/or Developmental Disabilities

BLUE MOON HOUSE is a residential treatment facility located in BLOOMINGDALE, MI. NPPES has assigned the NPI number 1467725234 to BLUE MOON HOUSE on February 09, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BLUE MOON HOUSE” is a dba name, the actual legal business name for this organization is REBECCA MAE FORBES. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE MOON HOUSE below.

NPI Profile for
REBECCA MAE FORBES

NPI Number
1467725234
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
REBECCA MAE FORBES
Doing Business As (dba): BLUE MOON HOUSE
Primary location
130 45TH ST
BLOOMINGDALE, MI 49026-9502
Phone: (269) 521-4500 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
REBECCA FORBES
SOLE PROPRIETOR
Phone: (269) 521-4500
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)		 MI AS030265913

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.