The White House

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

630279828 Issued in MI

Legal business name

THE WHITE HOUSE

Practice address

5466 Greenbriar Dr
West Bloomfield, MI 48323-2328

Phone

(248) 682-0773

Fax

(248) 682-0912

NPI assigned

Jun 11, 2008

Last updated

Jun 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacquelyn D Vaughn

Title

Owner

Phone

(248) 682-0773

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1558521773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5466 GREENBRIAR DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232328",
            "telephone_number": "248-682-0773",
            "fax_number": "248-682-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5466 GREENBRIAR DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232328",
            "telephone_number": "248-682-0773",
            "fax_number": "248-682-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WHITE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-682-0773"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MI",
            "license": "630279828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Disabilities Residential Treatment Facility in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Physical Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.