Organization Active NPI

Katie Edwards House LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Detroit, MI
National Provider Identifier
1659468882
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
KATIE EDWARDS HOUSE LLC
Practice address
8635 W 7 Mile Rd
Detroit, MI 48221-2041
Phone
(313) 341-4323
Fax
(313) 341-4323
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Gail C Haight, LBSW
Title
Licensee
Phone
(313) 341-4323

Specialties & licenses 1

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

Addresses

Primary practice location

8635 W 7 Mile Rd
Detroit, MI 48221-2041

Mailing address

8635 W 7 Mile Rd
Detroit, MI 48221-2041
Phone (313) 341-4323

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659468882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8635 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212041",
            "telephone_number": "313-341-4323",
            "fax_number": "313-341-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 7 MILE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212041",
            "telephone_number": "313-341-4323",
            "fax_number": "313-341-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE EDWARDS HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAIGHT",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "313-341-4323",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LBSW"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MI",
            "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 Aug 22, 2020; 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.