Hernandez Home LLC
NPI 1124310818 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Bloomingdale, MI
Hernandez Home LLC is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Bloomingdale, MI (NPI 1124310818).
Provider details
- NPI number
- 1124310818
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tracie Hernandez, Ceo(269) 628-2100
- License
- AS030282002 (MI)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense AS030282002 (MI)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-05-12
- Last updated
- 2011-05-12
Frequently asked questions
- What is Hernandez Home LLC's NPI number?
- Hernandez Home LLC's National Provider Identifier (NPI) is 1124310818, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hernandez Home LLC?
- Hernandez Home LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Hernandez Home LLC located?
- Hernandez Home LLC's practice location on file with NPPES is 94 45th St, Bloomingdale, MI 49026-9502.
- What is Hernandez Home LLC's phone number?
- The practice phone number listed in the NPPES registry for Hernandez Home LLC is (269) 628-2100.
- Who is the authorized official for Hernandez Home LLC?
- The authorized official listed on Hernandez Home LLC's NPPES record is Tracie Hernandez, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hernandez Home LLC's NPI active?
- Yes — Hernandez Home LLC's NPI (1124310818) is active in the NPPES registry as of the last update on 2011-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.