Organization Active NPI

Lurranah Safe Haven LLC

  • Home Health Agency
  • Sterling Heights, MI
National Provider Identifier
1487341459
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LURRANAH SAFE HAVEN LLC
Practice address
39449 Della Rosa Dr
Sterling Heights, MI 48313-5227
Phone
(313) 870-8736
NPI assigned
Apr 20, 2023
Last updated
Apr 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Shantique Lasean Dortch, LPNNPI 1144706169
Title
Owner
Phone
(313) 870-8736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X

Addresses

Primary practice location

39449 Della Rosa Dr
Sterling Heights, MI 48313-5227

Mailing address

39449 Della Rosa Dr
Sterling Heights, MI 48313-5227

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": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1487341459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39449 DELLA ROSA DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483135227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39449 DELLA ROSA DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483135227",
            "telephone_number": "313-870-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LURRANAH SAFE HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "DORTCH",
        "authorized_official_first_name": "SHANTIQUE",
        "authorized_official_middle_name": "LASEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-870-8736",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.