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BRENDA WHITE
NPI 1295258010
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Warren, MI

Active since July 24, 2017
21180 GENTNER ST, WARREN, MI 48089(586) 774-9559 Get Directions Write a Review

NPPES record last updated: July 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brenda White NPPES

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

BRENDA WHITE (NPI 1295258010) is an individual community based residential treatment facility, intellectual and/or developmental disabilities provider in Warren, Michigan, licensed in Michigan (AF500286756) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1295258010
Entity TypeIndividualFemale
Primary Taxonomy320900000X
Provider Legal NameBRENDA WHITE
Location Address21180 GENTNER STWarren, MI 48089-3437
Mailing Address21180 Gentner StWarren, MI 48089-3437
Phone(586) 774-9559
Sole ProprietorYes
Enumeration DateJuly 24, 2017
✔ NPI 1295258010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in MI · AF500286756
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
21180 GENTNER ST, Warren, MI 48089
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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 Brenda White's NPI number?

The NPI number for Brenda White is 1295258010. It was assigned to this individual provider in the NPPES registry on July 24, 2017.

Where is Brenda White located?

Brenda White practices at 21180 Gentner St, Warren, MI 48089. The listed phone number is (586) 774-9559.

What is Brenda White's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Brenda White was last updated on July 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.