Active NPI
Brighter Haven Inc.
- Mental Illness Community Based Residential Treatment Facility
- Detroit, MI
National Provider Identifier
1467209338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- BRIGHTER HAVEN INC.
- Practice address
- 560 E Grand Blvd
Detroit, MI 48207-3534 - Phone
- (313) 605-0641
- Fax
- (313) 571-9046
- NPI assigned
- Apr 30, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Felicia Jordan, BA
- Title
- Administrator
- Phone
- (313) 605-0641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
560 E Grand Blvd
Detroit, MI 48207-3534
Mailing address
560 E Grand Blvd
Detroit, MI 48207-3534
Phone (313) 605-0641
National Provider Directory
National Provider DirectoryLocations
560 E Grand Blvd
Detroit, MI 48207
Phone (313) 506-9556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714435200000",
"number": "1467209338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 E GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482073534",
"telephone_number": "313-605-0641",
"fax_number": "313-605-0641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 E GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482073534",
"telephone_number": "313-605-0641",
"fax_number": "313-571-9046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIGHTER HAVEN INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-30",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "FELICIA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "313-605-0641",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BA"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.