Urban Enterprise

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

URBAN ENTERPRISE

Doing business as

MGS Haven

Practice address

17558 Monica St
Detroit, MI 48221-2635

Phone

(313) 345-3489

NPI assigned

Aug 27, 2007

Organization subpart

No

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

Authorized official

Name

Valnedra Jamille Shropshire

Title

Licensee

Phone

(313) 549-8546

Specialties & licenses 2

Addresses

Other names 1

• MGS Haven Doing business as

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1336332972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17558 MONICA ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212635",
            "telephone_number": "313-345-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17558 MONICA ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212635",
            "telephone_number": "313-345-3489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "SHROPSHIRE",
        "authorized_official_first_name": "VALNEDRA",
        "authorized_official_middle_name": "JAMILLE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "313-549-8546"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MGS Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dipesh Uprety, MD
• Deborah Upshaw
• Ruth Upshaw
• Emma Jean Urbain
• Urban Comprehensive Medical Care PC
• Urban Family Medical Services
• Urban Family Medical Services
• Urban Health Outreach, LLC
• Urban Health Resource
• Urban Services and Development

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.