White House Services

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

WHITE HOUSE SERVICES

Practice address

5466 Greenbriar Dr
West Bloomfield, MI 48323-2328

Phone

(248) 682-0773

Fax

(248) 682-0912

NPI assigned

Jan 14, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jacquelyn D. Vaughn

Title

Owner

Phone

(248) 682-0773

Specialties & licenses 1

Addresses

Other names 1

• White House Services Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1194314153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5466 GREENBRIAR DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232328",
            "telephone_number": "248-682-0773",
            "fax_number": "248-682-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5466 GREENBRIAR DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232328",
            "telephone_number": "248-682-0773",
            "fax_number": "248-682-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE HOUSE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-682-0773",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "White House Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Adult Care Home Facility in West Bloomfield, MI
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.