Organization Active NPI

LPH Home Care LLC

  • In Home Supportive Care Agency
  • Mount Clemens, MI
National Provider Identifier
1366373607
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LPH HOME CARE LLC
Practice address
79 Macomb PL
Mount Clemens, MI 48043-5625
Phone
(586) 252-0088
NPI assigned
May 26, 2026
Organization subpart
Yes
Parent organization
LPH HOME CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Desirer Jackson-Williams, JACKSON-WILLIAMS
Title
Owner
Phone
(586) 252-0088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

79 Macomb PL
Mount Clemens, MI 48043-5625

Mailing address

25535 Arlington St
Roseville, MI 48066-3919
Phone (586) 252-0088

National Provider Directory

National Provider Directory
Part of
LPH Home Care LLC

Locations

79 Macomb Pl
Mount Clemens, MI 48043
Phone (586) 252-0088

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1366373607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25535 ARLINGTON ST",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480663919",
            "telephone_number": "586-252-0088",
            "fax_number": "586-252-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MACOMB PL",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480435625",
            "telephone_number": "586-252-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LPH HOME CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LPH HOME CARE LLC",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "JACKSON-WILLIAMS",
        "authorized_official_first_name": "DESIRER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-252-0088",
        "authorized_official_credential": "JACKSON-WILLIAMS"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.