MICHIGAN HAVEN, LLC
NPI 1477429876
Assisted Living Facility in Southfield, MI

Active since October 13, 2025
19595 MAHON ST, SOUTHFIELD, MI 48075(248) 993-6147 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Assisted Living Facility

About MICHIGAN HAVEN, LLC

This page provides the complete NPI Profile along with additional information for Michigan Haven, Llc, a provider established in Southfield, Michigan operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1477429876 assigned on October 2025. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Ms. Lawanda Smith Mba (Managing Member)

NPI
1477429876 Verify this NPI
Provider Name
MICHIGAN HAVEN, LLC
Entity Type
Organization
Location Address
19595 MAHON ST SOUTHFIELD, MI 48075
Location Phone
(248) 993-6147
Mailing Address
19595 MAHON ST SOUTHFIELD, MI 48075
Mailing Phone
(248) 993-6147
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-13-2025
Last Update Date
10-13-2025
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251B00000XAgencies

Case Management

 
2251C00000XAgencies

Day Training, Developmentally Disabled Services

 
3251E00000XAgencies

Home Health

 
43104A0625XNursing & Custodial Care Facilities

Assisted Living Facility
Assisted Living, Mental Illness

 
5311500000XNursing & Custodial Care Facilities

Alzheimer Center (Dementia Center)

 
6311Z00000XNursing & Custodial Care Facilities

Custodial Care Facility

 
7320900000XResidential Treatment Facilities

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. LAWANDA SMITH MBA

Authorized Official Title
MANAGING MEMBER
Authorized Official Phone
(248) 993-6147

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477429876, enumerated as an "organization" on October 13, 2025.

The provider is located at 19595 MAHON ST SOUTHFIELD, MI 48075 and the phone number is (248) 993-6147.

Assisted Living Facility with taxonomy code 310400000X.