Organization Active NPI

Mae Cares Assisted Living, LLC

  • Attendant Care Provider
  • Flint, MI
National Provider Identifier
1205703360
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
MAE CARES ASSISTED LIVING, LLC
Practice address
1951 S Averill Ave
Flint, MI 48503-4403
Phone
(810) 345-4020
Fax
(810) 345-4020
NPI assigned
Oct 22, 2025
Last updated
Oct 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Lakrisha JacksonNPI 1891672705
Title
Owner
Phone
(810) 345-4020

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X NU Primary

Addresses

Primary practice location

1951 S Averill Ave
Flint, MI 48503-4403

Mailing address

1951 S Averill Ave
Flint, MI 48503-4403
Phone (810) 345-4020

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1205703360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 S AVERILL AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485034403",
            "telephone_number": "810-345-4020",
            "fax_number": "810-345-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 S AVERILL AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485034403",
            "telephone_number": "810-345-4020",
            "fax_number": "810-345-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAE CARES ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LAKRISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-345-4020"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.