Provider Demographics
NPI:1346528783
Name:MATHEWS' HOMES, INC.
Entity Type:Organization
Organization Name:MATHEWS' HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LAMAR
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:248-987-2500
Mailing Address - Street 1:19500 MIDDLEBELT RD
Mailing Address - Street 2:SUITE 225E
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-2196
Mailing Address - Country:US
Mailing Address - Phone:248-987-2500
Mailing Address - Fax:248-987-2502
Practice Address - Street 1:19500 MIDDLEBELT RD
Practice Address - Street 2:SUITE 225E
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-2196
Practice Address - Country:US
Practice Address - Phone:248-987-2500
Practice Address - Fax:248-987-2502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAS820071488320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness