Great Lakes Children Center LLC

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

GREAT LAKES CHILDREN CENTER LLC

Practice address

21088 Westland Dr
Southfield, MI 48075-7945

Phone

(248) 635-7512

NPI assigned

Aug 11, 2025

Last updated

Aug 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ada Iroegbu

Title

Director

Phone

(248) 635-7512

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1326923087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21088 WESTLAND DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757945",
            "telephone_number": "248-635-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21088 WESTLAND DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757945",
            "telephone_number": "248-635-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT LAKES CHILDREN CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "IROEGBU",
        "authorized_official_first_name": "ADA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "248-635-7512"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foster Care Agency in Southfield, MI
• Providers in Southfield, MI by specialty
• Foster Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.