Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Excelsior Home 1 Inc

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1891917191

Excelsior Home 1 Inc is a Mental Illness Community Based Residential Treatment Facility in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2007.

Licensed in
MI
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

129 Virginia Park
Detroit, MI 48202
Phone: (313) 874-5594
Fax: (248) 208-0024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X (MI)

Record details

NPI number1891917191
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kathleen Davis — Administrator · (313) 874-5404
NPI enumeratedMay 3, 2007
Last updated in NPPESAugust 15, 2007
Mailing addressP.O.Box 11387, Detroit, MI 48202

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