Organization Active NPI

Look@Faith Inc. Homecare

  • Home Health Agency
  • Southfield, MI
National Provider Identifier
1083104095
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LOOK@FAITH INC. HOMECARE
Practice address
24209 Northwestern Hwy Ste 208
Southfield, MI 48075-2570
Phone
(734) 444-4081
NPI assigned
May 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Ms. Shannon Jackson
Title
Ceo
Phone
(734) 890-0098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

24209 Northwestern Hwy Ste 208
Southfield, MI 48075-2570

Mailing address

29488 Woodward Ave Ste 458
Royal Oak, MI 48073-0903
Phone (734) 890-0098

Other identifiers 1

IdentifierTypeStateIssuer
8069701MedicaidMI

National Provider Directory

National Provider Directory

Locations

24209 Northwestern Hwy
Ste 208
Southfield, MI 48075
Phone (734) 444-4081

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1083104095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29488 WOODWARD AVE STE 458",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730903",
            "telephone_number": "734-890-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24209 NORTHWESTERN HWY STE 208",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752570",
            "telephone_number": "734-444-4081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOK@FAITH INC. HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "734-890-0098",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8069701",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.