MICHIGAN HAVEN, LLC
NPI 1477429876
Assisted Living Facility in Southfield, MI
- 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
- Code Navigator
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) |
|---|---|---|---|---|
| 1 | 251B00000X | Agencies | Case Management | |
| 2 | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | |
| 3 | 251E00000X | Agencies | Home Health | |
| 4 | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
| 5 | 311500000X | Nursing & Custodial Care Facilities | Alzheimer Center (Dementia Center) | |
| 6 | 311Z00000X | Nursing & Custodial Care Facilities | Custodial Care Facility | |
| 7 | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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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.