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NPI 1992658355 · Assisted Living Facility (Mental Illness) · Southfield, MI
Provider details
- NPI number
- 1992658355
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Anisha Jordan, Executive Director(248) 514-0975
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
30431 Ventura St
Southfield, MI 48076-1215
Phone: (248) 514-0975
Fax: (248) 514-0975
Street-level locationGet directions
Mailing address
6809 Stonebridge Ct
West Bloomfield, MI 48322-3251
Registry dates
- Enumerated
- 2026-02-17
- Last updated
- 2026-02-18
- Certified
- 2026-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.