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EXCELSIOR HOME 1 INC.
NPI 1891917191
Community Based Residential Treatment Facility, Mental Illness in Detroit, MI

Active since May 03, 2007
129 VIRGINIA PARK, DETROIT, MI 48202(313) 874-5594(248) 208-0024 Get Directions Write a Review

NPPES record last updated: August 15, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Excelsior Home 1 Inc. NPPES

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

EXCELSIOR HOME 1 INC. (NPI 1891917191) is a healthcare organization registered as a community based residential treatment facility, mental illness in Detroit, Michigan and active in the NPI registry since May 2007. The organization lists Kathleen Davis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1891917191
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameEXCELSIOR HOME 1 INC.
Location Address129 VIRGINIA PARKDetroit, MI 48202
Mailing AddressP.o.box 11387Detroit, MI 48202 · (313) 874-5404 · Fax (248) 208-0024
Phone(313) 874-5594
Fax(248) 208-0024
Organization SubpartNo
Authorized OfficialKathleen DavisAdministrator · (313) 874-5404
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 15, 2007
✔ NPI 1891917191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
129 VIRGINIA PARK, Detroit, MI 48202
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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 Excelsior Home 1 Inc.'s NPI number?

The NPI number for Excelsior Home 1 Inc. is 1891917191. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is Excelsior Home 1 Inc. located?

Excelsior Home 1 Inc. is located at 129 Virginia Park, Detroit, MI 48202. The listed phone number is (313) 874-5594.

What is Excelsior Home 1 Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Excelsior Home 1 Inc. was last updated on August 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.