Organization · Type 2 NPI

Detroit Family Home

Custodial Care Facility · Detroit, MI

NPI number 1609209634 Active

Practice location

17180 Indiana St
Detroit, MI 48221-2445

Call (313) 270-7751 Map

Fax (313) 270-7291

Mailing address

17356 W 12 Mile Rd Ste 202
Southfield, MI 48076-6316

Specialties and licenses

Taxonomy	Code	License
Custodial Care Facility Primary	311Z00000X	AS820338244 (MI)
Adult Care Home Facility	311ZA0620X	AS820338244 (MI)
Intellectual and/or Developmental Disabilities Residential Treatment Facility	320600000X	AS820338244 (MI)
Physical Disabilities Residential Treatment Facility	320700000X	AS820338244 (MI)
Mental Illness Community Based Residential Treatment Facility	320800000X	AS820338244 (MI)
Respite Care	385H00000X	AS820338244 (MI)
Child Intellectual and/or Developmental Disabilities Respite Care	385HR2060X	AS820338244 (MI)

Custodial Care Facility: A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or pa…

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About NPI 1609209634

Detroit Family Home's National Provider Identifier is 1609209634, issued on Aug 13, 2013. The primary taxonomy on file is Custodial Care Facility (311Z00000X), and the practice location is in Detroit, MI. The record was last updated on Jun 9, 2026.