Active NPI
LPH Home Care LLC
- In Home Supportive Care Agency
- Mount Clemens, MI
National Provider Identifier
1366373607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.