Healthcare Provider Details

I. General information

NPI: 1326999079
Provider Name (Legal Business Name): GREATHOUSE ENTERPRISES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11709 HOVEY ST
WARREN MI
48089-4630
US

IV. Provider business mailing address

28401 MOUND RD UNIT 991
WARREN MI
48090-7235
US

V. Phone/Fax

Practice location:
  • Phone: 832-678-6226
  • Fax:
Mailing address:
  • Phone: 586-327-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: TYKIA STOKES
Title or Position: OWNER/DIRECTOR
Credential:
Phone: 586-475-2127