Organization Active NPI

Ethos Behavioral Health

  • Adult Care Home Facility
  • Warren, MI
National Provider Identifier
1215419064
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
ETHOS BEHAVIORAL HEALTH
Practice address
32047 Vegas Dr
Warren, MI 48093-6175
Phone
(833) 384-6724
NPI assigned
Aug 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Erica Caldwell
Title
Member
Phone
(833) 384-6724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

32047 Vegas Dr
Warren, MI 48093-6175

Mailing address

25900 Greenfield Rd Ste 100
Oak Park, MI 48237-1297

National Provider Directory

National Provider Directory
Tax ID family
Ethos Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25900 Greenfield Rd
Ste 222
Oak Park, MI 48237

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1215419064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25900 GREENFIELD RD STE 100",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32047 VEGAS DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480936175",
            "telephone_number": "833-384-6724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETHOS BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "833-384-6724"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.