Shatika Cowling Larsosa

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

23071 Hawthorne St
Farmington, MI 48336-3330

Phone

(248) 934-1370

NPI assigned

Jun 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Envision Home Care, LLC

  • Attendant Care Provider
  • Farmington, MI
  • NPI 1376282582
  NPD Authorized official

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

{
    "created_epoch": "1654300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654300800000",
    "number": "1194464305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35560 GRAND RIVER AVE # 264",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483353123",
            "telephone_number": "248-934-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23071 HAWTHORNE ST",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363330",
            "telephone_number": "248-934-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWLING LARSOSA",
        "first_name": "SHATIKA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-04",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@envision-homecare.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "23071 Hawthorne St",
            "city": "Farmington",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483363330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Comfort Care Partners, LLC (Comfort Keepers #1005)
• Comfort Dental Group PLLC
• Community Living Centers, Inc
• Comprehensive Hearing Clinic (The Hearing Clinic)
• Connections Speech and Language Therapy
• Stephanie Lynne Crane, LMSW
• Crescent Ventures Group LLC (Orchard Village Pharmacy)
• Jonathan D Cromwell, D.C.
• Dana Pharmacy LTC LLC
• Daniel J. Vargovick OD., P.C. (Dubin Optometric Clinic)

• Attendant Care Provider in Farmington, MI
• Providers in Farmington, MI by specialty
• Attendant Care Provider in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; 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.