NPIMap

Organization Active NPI

Gabriel'S Nest Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Southfield, MI
National Provider Identifier
1376860288
Registry record updated May 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
AS630299676 Issued in MI
Legal business name
GABRIEL'S NEST INC
Practice address
17915 Louise St
Southfield, MI 48075-3490
Phone
(248) 789-8769
Fax
(805) 299-4989
NPI assigned
May 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2010

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

Authorized official

Name
Mr. Jermaine Gabriel
Title
President
Phone
(248) 789-8769

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X AS630299676 MI Primary

Addresses

Primary practice location

17915 Louise St
Southfield, MI 48075-3490

Mailing address

PO Box 250275
West Bloomfield, MI 48325-0275
Phone (248) 789-8769

National Provider Directory

National Provider Directory
Tax ID family
Gabriel'S Nest Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1272758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272758400000",
    "number": "1376860288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 250275",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483250275",
            "telephone_number": "248-789-8769",
            "fax_number": "805-299-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17915 LOUISE ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753490",
            "telephone_number": "248-789-8769",
            "fax_number": "805-299-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL'S NEST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-02",
        "last_updated": "2010-05-02",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-789-8769",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "license": "AS630299676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2010; 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.