PERFECTLY AUTISTIC, L.L.C. — NPI 1457058448 (Licensed & Credentialed Respite Care, Respite Care, Mental Illness, Child in BENTON HARBOR, MI)

CMS-1500 Box 24J / 33a • NPI

1457058448

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

385HR2055X

Licensed & Credentialed Respite Care, Respite Care, Mental Illness, Child

Box 32 Service Location & ZIP+4

1312 UNION AVE, BENTON HARBOR, MI, 49022-5830

✓ 9-Digit EDI 837 ZIP+4 (49022-5830)

Practice Phone & Referral Fax

(269) 409-1621

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1457058448 (PERFECTLY AUTISTIC, L.L.C.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1457058448` (NPI-2 Organization / Facility)
Provider / Legal Name	PERFECTLY AUTISTIC, L.L.C.
Plain-English Specialty	Licensed & Credentialed Respite Care, Respite Care, Mental Illness, Child NUCC Code: `385HR2055X` (Respite Care, Respite Care, Mental Illness, Child)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1312 UNION AVE, BENTON HARBOR, MI, 49022-5830
Practice Telephone / Fax	Tel: (269) 409-1621
Administrative Mailing Address	11159 RED ARROW HWY, BRIDGMAN, MI, 49106-9797
Enumeration & Last Sync	Enumerated: 2023-02-10 \| CMS Record Updated: 2023-10-17
Authorized Official	SHAMIKA MERIDY (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1312 UNION AVE, BENTON HARBOR, MI, 49022-5830

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Plain-English Taxonomy & CMS Crosswalk (385HR2055X)

What Does Taxonomy Code 385HR2055X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 385HR2055X translates to:
"Licensed & Credentialed Respite Care, Respite Care, Mental Illness, Child"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Respite Care, Respite Care, Mental Illness, Child for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PERFECTLY AUTISTIC, L.L.C.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`251E00000X` — Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`251S00000X` — Community/Behavioral Health Plain English: Licensed & Credentialed Community/Behavioral Health	State: N/A \| License: `Verified` \| Primary: Secondary
`253Z00000X` — In Home Supportive Care Plain English: Licensed & Credentialed In Home Supportive Care	State: N/A \| License: `Verified` \| Primary: Secondary
`343900000X` — Non-emergency Medical Transport (VAN) Plain English: Licensed & Credentialed Non-emergency Medical Transport (VAN)	State: N/A \| License: `Verified` \| Primary: Secondary
`385H00000X` — Respite Care Plain English: Licensed & Credentialed Respite Care	State: N/A \| License: `Verified` \| Primary: Secondary
`385HR2060X` — Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child Plain English: Licensed & Credentialed Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child	State: N/A \| License: `Verified` \| Primary: Secondary
`385HR2065X` — Respite Care, Respite Care, Physical Disabilities, Child Plain English: Licensed & Credentialed Respite Care, Respite Care, Physical Disabilities, Child	State: N/A \| License: `Verified` \| Primary: Secondary
`385HR2055X` — Respite Care, Respite Care, Mental Illness, Child Plain English: Licensed & Credentialed Respite Care, Respite Care, Mental Illness, Child	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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PERFECTLY AUTISTIC, L.L.C. (NPI #1457058448)