Organization Active NPI

Brighter Haven Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Detroit, MI
National Provider Identifier
1467209338
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
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

Updated by the provider on Apr 30, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.