POTENTIAL DEVELOPMENT HOMES, INC. – NPI #1164569802
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
POTENTIAL DEVELOPMENT HOMES, INC. is a community based residential treatment facility located in JACKSON, MI. NPPES has assigned the NPI number 1164569802 to POTENTIAL DEVELOPMENT HOMES, INC. on January 31, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “POTENTIAL DEVELOPMENT HOMES, INC.” is a dba name, the actual legal business name for this organization is PDHCRC, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320900000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.
The NPI profile was previously updated about 2 years ago on May 08, 2024. 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 POTENTIAL DEVELOPMENT HOMES, INC. below.
NPI Profile for
PDHCRC, INC.
(more than 19 years ago)
JACKSON, MI 49202 Phone: (517) 784-4426 Fax:
P.O. BOX 1978
JACKSON, MI 49203-1403 Phone: (517) 784-4426 Fax:
CEO
Phone: (517) 748-7071
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 |
|---|---|---|
| 320900000X - Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary) |
MI | AL380007055 |
| 385HR2065X - Respite Care / Respite Care, Physical Disabilities, Child |
MI | DC380253832 |
| 385HR2060X - Respite Care / Respite Care, Intellectual and/or Developmental Disabilities, Child |
MI | DC380253832 |
| 385H00000X - Respite Care |
||
| 320600000X - Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
MI | AL380007055 |
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.