Organization Active NPI

Big Five, LLC

  • Adult Care Home Facility
  • Lansing, MI
National Provider Identifier
1154174530
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
BIG FIVE, LLC
Doing business as
Big Five, LLC
Practice address
1718 Elmwood Rd
Lansing, MI 48917-1550
Phone
(702) 628-6809
NPI assigned
Apr 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Keyonie James
Title
Owner/Licensee Designee
Phone
(702) 628-6809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1718 Elmwood Rd
Lansing, MI 48917-1550

Mailing address

1718 Elmwood Rd
Lansing, MI 48917-1550
Phone (702) 628-6809

Other names 1

  • Big Five, LLC 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": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1154174530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 ELMWOOD RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171550",
            "telephone_number": "702-628-6809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 ELMWOOD RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171550",
            "telephone_number": "702-628-6809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG FIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-07",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "KEYONIE",
        "authorized_official_title_or_position": "OWNER/LICENSEE DESIGNEE",
        "authorized_official_telephone_number": "702-628-6809"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Five, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.