Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Hernandez Home LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1124310818

Hernandez Home LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Bloomingdale, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

94 45th St
Bloomingdale, MI 49026-9502
Phone: (269) 628-2100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence AS030282002 (MI)

Record details

NPI number1124310818
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracie Hernandez — Ceo · (269) 628-2100
NPI enumeratedMay 12, 2011
Last updated in NPPESMay 12, 2011
Mailing addressP.O. Box 277, Bloomingdale, MI 49026

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