NPIMap

Organization Active NPI

Magnolya Lantyrn & Laurel Porchlyght Inc

  • Clinic/Center
  • Detroit, MI
National Provider Identifier
1265398945
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MAGNOLYA LANTYRN & LAUREL PORCHLYGHT INC
Practice address
14700 Tireman St Apt 2
Detroit, MI 48228-2757
Phone
(313) 439-0442
NPI assigned
Dec 26, 2025
Last updated
Dec 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Authorized official

Name
Jennifer L EvonNPI 1548141179
Title
Owner
Phone
(313) 439-0442

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

14700 Tireman St Apt 2
Detroit, MI 48228-2757

Mailing address

14700 Tireman St Apt 2
Detroit, MI 48228-2757
Phone (313) 439-0442

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": "1766707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766707200000",
    "number": "1265398945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 TIREMAN ST APT 2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482282757",
            "telephone_number": "313-439-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 TIREMAN ST APT 2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482282757",
            "telephone_number": "313-439-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLYA LANTYRN & LAUREL PORCHLYGHT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-26",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A",
        "authorized_official_last_name": "EVON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-439-0442"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.