Organization Active NPI

Fredericks Family Homes, Inc.

  • Adult Care Home Facility
  • Southgate, MI
National Provider Identifier
1497951156
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
FREDERICKS FAMILY HOMES, INC.
Practice address
15100 Northline Road Suite 200
Southgate, MI 48195
Phone
(734) 287-8210
Fax
(734) 287-8211
NPI assigned
Jun 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Patti Ann Sielaff
Title
Financial Director
Phone
(734) 287-8210

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

15100 Northline Road Suite 200
Southgate, MI 48195

Mailing address

15100 Northline Road Suite 200
PO Box 1515
Southgate, MI 48195
Phone (734) 287-8210

National Provider Directory

National Provider Directory

Locations

15100 Northline Rd
Ste 200
Southgate, MI 48195
Phone (734) 287-8210

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1497951156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 NORTHLINE ROAD SUITE 200",
            "address_2": "PO BOX 1515",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "48195",
            "telephone_number": "734-287-8210",
            "fax_number": "734-287-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 NORTHLINE ROAD SUITE 200",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "48195",
            "telephone_number": "734-287-8210",
            "fax_number": "734-287-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICKS FAMILY HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SIELAFF",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FINANCIAL DIRECTOR",
        "authorized_official_telephone_number": "734-287-8210",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southgate, MI

Sources for this page

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