EXCELSIOR HOME 1 INC. – NPI #1891917191
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Health Care Provider Taxonomy Code for Community Based Residential Treatment Facility, Mental Illness

EXCELSIOR HOME 1 INC. is a community based residential treatment facility located in DETROIT, MI. NPPES has assigned the NPI number 1891917191 to EXCELSIOR HOME 1 INC. on May 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 19 years ago on Aug 15, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EXCELSIOR HOME 1 INC. below.

NPI Profile for
EXCELSIOR HOME 1 INC.

NPI Number
1891917191
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EXCELSIOR HOME 1 INC.
Primary location
129 VIRGINIA PARK
DETROIT, MI 48202
Phone: (313) 874-5594 Fax: (248) 208-0024
Mailing address
P.O.BOX 11387
DETROIT, MI 48202
Phone: (313) 874-5404 Fax: (248) 208-0024
Organization Subpart
No
Authorized Official
KATHLEEN DAVIS
ADMINISTRATOR
Phone: (313) 874-5404
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)		 MI

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.