Organization
HEAVEN'S ANGELS RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIA WHITE (EXECUTIVE DIRECTOR)
(734) 742-5404
Entity
Organization
Contact information
Practice address
30120 FORD RD STE C, GARDEN CITY, MI 48135-2396
(734) 742-5404
(888) 325-1688
Mailing address
12245 BEECH DALY RD, STE. 40736, REDFORD, MI 48240-3200
(734) 742-5404
(888) 325-1688
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
AS820381239
MI
320700000X
Physical Disabilities Residential Treatment Facility
AS820381239
MI
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
AS820381239
MI
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
AS820381239
MI
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
01/20/2017
Last updated
10/21/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us