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MALE RESIDENTIAL
NPI 1740670512
Substance Abuse Rehabilitation Facility in Madison Heights, MI

Active since January 30, 2015
30671 STEPHENSON HWY, MADISON HEIGHTS, MI 48071(734) 451-7800(810) 231-3845 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Male Residential NPPES

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

MALE RESIDENTIAL (NPI 1740670512) is a healthcare organization registered as a substance abuse rehabilitation facility in Madison Heights, Michigan and active in the NPI registry since January 2015. The organization lists Joseph Stanley Paliwoda, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740670512
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePERSONALIZED NURSING LIGHT HOUSE INC
Location Address30671 STEPHENSON HWYMadison Heights, MI 48071-1635
Mailing AddressPo Box 625Lakeland, MI 48143-0625 · (734) 451-7800 · Fax (810) 231-3845
Phone(734) 451-7800
Fax(810) 231-3845
Organization SubpartNo
Authorized OfficialJoseph Stanley PaliwodaCeo · (734) 451-7800
Enumeration DateJanuary 30, 2015
Last NPPES UpdateMay 4, 2018
✔ NPI 1740670512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Licenses✔ Licensed in MI · SA0631403✔ Licensed in MI · SA0823220
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.
30671 STEPHENSON HWY, Madison Heights, MI 48071
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Other Names 1

Doing Business AsMale Residential

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VHS HURON VALLEY-SINAI HOSPITAL INC
Psychiatric Unit
30671 STEPHENSON HWY
MADISON HEIGHTS, MI 48071
Oakland County (248) 937-3300
KATHERINE HAINES CRNA
Nurse Anesthetist, Certified Registered
30671 STEPHENSON HWY
MADISON HEIGHTS, MI 48071
Oakland County (952) 442-9770
DEBORAH L STEWART PA-C
Physician Assistant
30671 STEPHENSON HWY
MADISON HTS, MI 48071
Oakland County (810) 720-5715
CENTRAL HEALTH INSTITUTE CENTER OF MICHIGAN LLC
Clinic/Center (Ambulatory Surgical)
30671 STEPHENSON HWY
MADISON HEIGHTS, MI 48071
Oakland County (313) 414-8673
HARPER-HUTZEL HOSPITAL
General Acute Care Hospital
30671 STEPHENSON HWY
MADISON HEIGHTS, MI 48071
Oakland County (248) 733-2200
GLENDA EVON JOHNSON LPN
Licensed Practical Nurse
30671 STEPHENSON HWY
MADISON HEIGHTS, MI 48071
Oakland County (248) 275-6373
DR. MICHAEL E KRAMER M.D.
Emergency Medicine
30671 STEPHENSON HWY
MADISON HEIGHTS, MI 48071
Oakland County (248) 733-2200
WILLIAM GILBERT CRNA
Nurse Anesthetist, Certified Registered
30671 STEPHENSON HWY
MADISON HEIGHTS, MI 48071
Oakland County (952) 442-9770

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 Personalized Nursing Light House Inc's NPI number?

The NPI number for Personalized Nursing Light House Inc is 1740670512. It was assigned to this organization in the NPPES registry on January 30, 2015. The provider is doing business as Male Residential.

Where is Personalized Nursing Light House Inc located?

Personalized Nursing Light House Inc is located at 30671 Stephenson Hwy, Madison Heights, MI 48071. The listed phone number is (734) 451-7800.

What is Personalized Nursing Light House Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Personalized Nursing Light House Inc was last updated on May 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.