Organization · Type 2 NPI

Elmhurst Home, Inc.

Substance Abuse Rehabilitation Facility · Detroit, MI

NPI number 1366659906 Active

Practice location

12010 Linwood St
Detroit, MI 48206-1108

Call (313) 867-1002 Map

Fax (313) 867-7776

Other practice locations

245 Pitkin St, Highland Park, MI 48203-3737 · (313) 865-1500

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	820202 (MI)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

27 other providers at this address

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NPI record

NPI: 1366659906
Entity type: Organization (Type 2)
Issued: May 16, 2007
Last updated: Jan 13, 2026
Status: Active

Other names

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Elmhurst Home, Inc. · former legal business name
Elmhurst Home, Inc. · former legal business name

Authorized official

Mr. John Campbell Oden
Executive Director
(313) 867-1002

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366659906

Elmhurst Home, Inc.'s National Provider Identifier is 1366659906, issued on May 16, 2007. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Detroit, MI. The record was last updated on Jan 13, 2026.