Organization Active NPI

Shimone Antonya LLC

  • In Home Supportive Care Agency
  • Jackson, MI
National Provider Identifier
1023992104
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SHIMONE ANTONYA LLC
Practice address
6220 Mountie Way
Jackson, MI 49201-9410
Phone
(517) 879-3154
NPI assigned
Aug 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shimone Glaspie
Title
Owner
Phone
(517) 879-3154

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6220 Mountie Way
Jackson, MI 49201-9410

Mailing address

6220 Mountie Way
Jackson, MI 49201-9410
Phone (517) 879-3154

Other names 1

  • Lundon's Legacy Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1023992104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 MOUNTIE WAY",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019410",
            "telephone_number": "517-879-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 MOUNTIE WAY",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019410",
            "telephone_number": "517-879-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIMONE ANTONYA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-02",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "GLASPIE",
        "authorized_official_first_name": "SHIMONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-879-3154"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lundon's Legacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lundon's Legacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.