Organization Active NPI

North Haven Residential Care LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Portage, MI
National Provider Identifier
1679413603
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
NORTH HAVEN RESIDENTIAL CARE LLC
Practice address
313 W Kilgore Rd
Portage, MI 49002-0501
Phone
(269) 220-1114
NPI assigned
Mar 30, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Tety Mumararungu
Title
Ceo
Phone
(269) 220-1114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

313 W Kilgore Rd
Portage, MI 49002-0501

Mailing address

313 W Kilgore Rd
Portage, MI 49002-0501
Phone (269) 220-1114

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1679413603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W KILGORE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490020501",
            "telephone_number": "269-220-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W KILGORE RD",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490020501",
            "telephone_number": "269-220-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HAVEN RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "MUMARARUNGU",
        "authorized_official_first_name": "TETY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "269-220-1114"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.