Active NPI
Meadowlark Home Care Inc.
- Foster Care Agency
- Oak Park, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- AS630247107
- Legal business name
- MEADOWLARK HOME CARE INC.
- Practice address
- 23580 Meadowlark St
Oak Park, MI 48237-2275 - Phone
- (248) 545-0133
- Fax
- (248) 864-8724
- NPI assigned
- Apr 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Devoughn T. Owens
- Title
- Provider
- Phone
- (248) 240-7647
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | AS630247107 | MI | Primary |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Physical Disabilities Residential Treatment Facility | 320700000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
23580 Meadowlark St
Oak Park, MI 48237-2275
Mailing address
23580 Meadowlark St
Oak Park, MI 48237-2275
Phone (248) 545-0133
Other practice location 1
29931 Bermuda Ln
Southfield, MI 48076-1662
Phone (248) 996-8365
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2218317 | Meadowlark Home Care - 1 | Certificate of waiver | Mar 25, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Nurse
- Oak Park, MI
- NPI 1295262913
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524441600000",
"number": "1043708357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23580 MEADOWLARK ST",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482372275",
"telephone_number": "248-545-0133",
"fax_number": "248-864-8724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23580 MEADOWLARK ST",
"city": "OAK PARK",
"state": "MI",
"postal_code": "482372275",
"telephone_number": "248-545-0133",
"fax_number": "248-864-8724"
}
],
"practiceLocations": [
{
"address_1": "29931 Bermuda Ln",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480761662",
"country_code": "US",
"telephone_number": "248-996-8365",
"fax_number": "248-864-8724",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MEADOWLARK HOME CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-23",
"last_updated": "2018-04-23",
"status": "A",
"authorized_official_last_name": "OWENS",
"authorized_official_first_name": "DEVOUGHN",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "248-240-7647"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "MI",
"license": "AS630247107",
"primary": true
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.