Organization Active NPI

Everhaven Homecare LLC

  • In Home Supportive Care Agency
  • South Lyon, MI
National Provider Identifier
1144015058
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EVERHAVEN HOMECARE LLC
Practice address
53869 Springwood Dr
South Lyon, MI 48178-8025
Phone
(313) 608-6688
NPI assigned
Apr 11, 2025
Last updated
May 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Kendrick Bell
Title
Founder & Ceo
Phone
(313) 608-6688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

53869 Springwood Dr
South Lyon, MI 48178-8025

Mailing address

53869 Springwood Dr
South Lyon, MI 48178-8025
Phone (313) 608-6688

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1144015058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53869 SPRINGWOOD DR",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481788025",
            "telephone_number": "313-608-6688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53869 SPRINGWOOD DR",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481788025",
            "telephone_number": "313-608-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERHAVEN HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "KENDRICK",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "313-608-6688"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lyon, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.