Provider Demographics
NPI:1235359761
Name:HGA NONPROFIT HOMES, INCORPORATED
Entity Type:Organization
Organization Name:HGA NONPROFIT HOMES, INCORPORATED
Other - Org Name:HGA SUPPORT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MYRA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:231-728-3501
Mailing Address - Street 1:500 W WESTERN AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49440-1094
Mailing Address - Country:US
Mailing Address - Phone:231-728-3501
Mailing Address - Fax:231-722-1931
Practice Address - Street 1:500 W WESTERN AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49440-1094
Practice Address - Country:US
Practice Address - Phone:231-728-3501
Practice Address - Fax:231-722-1931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities