Provider Demographics
NPI:1093155186
Name:MALOY HOMES, INC.
Entity Type:Organization
Organization Name:MALOY HOMES, INC.
Other - Org Name:HUNTINGTON HOMES AFC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:MS
Authorized Official - First Name:GABRIELL
Authorized Official - Middle Name:
Authorized Official - Last Name:MALOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-633-3555
Mailing Address - Street 1:26280 HUNTINGTON ST
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-3439
Mailing Address - Country:US
Mailing Address - Phone:313-633-3555
Mailing Address - Fax:586-776-7915
Practice Address - Street 1:26280 HUNTINGTON ST
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-3439
Practice Address - Country:US
Practice Address - Phone:313-633-3555
Practice Address - Fax:586-776-7915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-03
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAS500286652310400000X, 3104A0625X, 3104A0630X, 311500000X, 315D00000X, 320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness