MICHIGAN HAVEN LLC NPI 1477429876

NPI Information

NPI: 1477429876
Provider Name: MICHIGAN HAVEN, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address: 19595 MAHON ST
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 993-6147

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NPI Details

MICHIGAN HAVEN, LLC is an assisted living facility in Southfield, MI. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MICHIGAN HAVEN, LLC NPI is 1477429876. The provider is registered as an organization entity type.

The provider's business location address is:

19595 MAHON ST
SOUTHFIELD, MI
ZIP 48075-939
Phone: (248) 993-6147

The provider's authorized official is Lawanda Smith .
The authorized official title is Managing Member and has the following contact phone number (248) 993-6147.

The enumeration date for this NPI number is 10/13/2025 and was last updated on 10/13/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251E00000X	Home Health		No
2	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	No
3	311500000X	Alzheimer Center (Dementia Center)		No
4	311Z00000X	Custodial Care Facility		No
5	251B00000X	Case Management		No
6	251C00000X	Day Training, Developmentally Disabled Services		No
7	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
8	310400000X	Assisted Living Facility		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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