Active NPI
Whole Life Senior Care LLC
- In Home Supportive Care Agency
- Waterford Township, MI
National Provider Identifier
1245948173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- WHOLE LIFE SENIOR CARE LLC
- Practice address
- 3671 Lotus Dr
Waterford Township, MI 48329-1350 - Phone
- (517) 861-7337
- NPI assigned
- Nov 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley L Goforth
- Title
- Owner
- Phone
- (517) 861-7337
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
3671 Lotus Dr
Waterford Township, MI 48329-1350
Mailing address
3671 Lotus Dr
Waterford Township, MI 48329-1350
Phone (517) 861-7337
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667952000000",
"number": "1245948173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3671 LOTUS DR",
"city": "WATERFORD TOWNSHIP",
"state": "MI",
"postal_code": "483291350",
"telephone_number": "517-861-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3671 LOTUS DR",
"city": "WATERFORD TOWNSHIP",
"state": "MI",
"postal_code": "483291350",
"telephone_number": "517-861-7337"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHOLE LIFE SENIOR CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-09",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A",
"authorized_official_last_name": "GOFORTH",
"authorized_official_first_name": "ASHLEY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "517-861-7337"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterford Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.