Organization Active NPI

Safe Refuge LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Pontiac, MI
National Provider Identifier
1386589059
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
SAFE REFUGE LLC
Practice address
669 Lookout St
Pontiac, MI 48342-2947
Phone
(248) 251-2555
Fax
(888) 830-8396
NPI assigned
Apr 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Mr. Michael MackNPI 1336012426
Title
Owner/Provider
Phone
(248) 251-2557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

669 Lookout St
Pontiac, MI 48342-2947

Mailing address

PO Box 175
Bloomfield Hills, MI 48303-0175
Phone (248) 251-2557

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1386589059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 175",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483030175",
            "telephone_number": "248-251-2557",
            "fax_number": "888-830-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 LOOKOUT ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422947",
            "telephone_number": "248-251-2555",
            "fax_number": "888-830-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE REFUGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "248-251-2557",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; 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.