Provider Demographics
NPI:1891849246
Name:HOMELIFE, INC
Entity Type:Organization
Organization Name:HOMELIFE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRUNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-660-0854
Mailing Address - Street 1:5420A BECKLEY ROAD
Mailing Address - Street 2:PMB 234
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49015
Mailing Address - Country:US
Mailing Address - Phone:269-660-0854
Mailing Address - Fax:269-660-0964
Practice Address - Street 1:3 HERITAGE OAK LN
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-4262
Practice Address - Country:US
Practice Address - Phone:269-660-0854
Practice Address - Fax:269-660-0964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI320800000X, 320800000X, 320800000X, 320800000X, 320800000X, 320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness