# HERITAGE HAVEN HOMES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336017474
- **Authorized official:** MS. TAMARA M EVANS (ADMINISTRATOR)
- **Authorized official phone:** (313) 438-8788

## Contact information

- **Practice address:** 60 MCLEAN ST, HIGHLAND PARK, MI 48203-3308
- **Practice address phone:** (313) 438-8788
- **Mailing address:** 6311 HAGGERTY RD \# 722, W BLOOMFIELD, MI 48322-5031
- **Mailing address phone:** (313) 438-8788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 10/29/2025
- **Last updated:** 03/11/2026