Organization Active NPI

Lakeland House, Inc

  • Adult Care Home Facility
  • Troy, MI
National Provider Identifier
1285755793
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
LAKELAND HOUSE, INC
Practice address
1052 Byron Dr
Troy, MI 48098-4420
Phone
(248) 952-5821
NPI assigned
Apr 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Gary Ernest Romanelli
Title
Coo & Cfo
Phone
(248) 350-8070

Specialties & licenses 1

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

Addresses

Primary practice location

1052 Byron Dr
Troy, MI 48098-4420

Mailing address

26900 Franklin Rd
Southfield, MI 48033-5312
Phone (248) 350-8070

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285755793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26900 FRANKLIN RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335312",
            "telephone_number": "248-350-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 BYRON DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480984420",
            "telephone_number": "248-952-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELAND HOUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROMANELLI",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "COO & CFO",
        "authorized_official_telephone_number": "248-350-8070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.