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MARINERS INN
NPI 1184835084
Substance Abuse Rehabilitation Facility in Detroit, MI

Active since May 24, 2007CLIA 23D2061944 · Waiver
14108 MARK TWAIN ST, 445 LEDYARD, DETROIT, MI 48227(313) 962-9446(313) 962-6395 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mariners Inn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARINERS INN (NPI 1184835084) is a healthcare organization registered as a substance abuse rehabilitation facility in Detroit, Michigan and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through February 9, 2027 and lists David Sampson, Deputy Director, as its authorized official.

NPPES Registry Identity

NPI1184835084
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameMARINERS INN
Location Address14108 MARK TWAIN ST, 445 LEDYARDDetroit, MI 48227-2835
Mailing Address445 Ledyard StDetroit, MI 48201-2641 · (313) 962-9446 · Fax (313) 962-6395
Phone(313) 962-9446
Fax(313) 962-6395
Organization SubpartNo
Authorized OfficialDavid SampsonDeputy Director · (313) 962-9446
Enumeration DateMay 24, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1184835084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in MI · 820152
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
14108 MARK TWAIN ST, Detroit, MI 48227
Open in Google Maps ↗

Other Identifiers 1

Other820152MI · Substance Abuse

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D2061944

Mariners Inn · Detroit, MI
Active · expires Feb 9, 2027
CLIA Number23D2061944
Laboratory TypeSud Outpatent
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorBrittany D. Miles
Laboratory Phone(313) 962-9446
Laboratory LocationMariners Inn445 - 457 Ledyard, Detroit, MI 48201
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariners Inn's NPI number?

The NPI number for Mariners Inn is 1184835084. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is Mariners Inn located?

Mariners Inn is located at 14108 Mark Twain St 445 Ledyard, Detroit, MI 48227. The listed phone number is (313) 962-9446.

What is Mariners Inn's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Mariners Inn hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2061944) is associated with this NPI, valid through February 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mariners Inn was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.