Organization Active NPI

Meadowlark Home Care Inc.

  • Foster Care Agency
  • Oak Park, MI
National Provider Identifier
1043708357
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
AS630247107 Issued in MI
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

Updated by the provider on Apr 23, 2018

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

Authorized official

Name
Devoughn T. OwensNPI 1295262913
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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2218317Meadowlark Home Care - 129931 Bermuda Lane, Southfield, MI 48076Certificate of waiverMar 25, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.