Life Center Mihp

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIFE CENTER MIHP

Practice address

20245 Picadilly Rd
Detroit, MI 48221-1308

Phone

(313) 704-4837

NPI assigned

Feb 16, 2012

Last updated

Feb 16, 2012By 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

Krystal Lyn Copeland, LLMSWNPI 1821376179

Title

Owner

Phone

(313) 704-4837

Specialties & licenses 1

Addresses

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.

• Krystal Lyn Copeland, MSW

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1821376179
  Authorized official Same address or phone

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1548533896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20245 PICADILLY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211308",
            "telephone_number": "313-704-4837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20245 PICADILLY RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211308",
            "telephone_number": "313-704-4837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CENTER MIHP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "KRYSTAL",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-704-4837",
        "authorized_official_credential": "LLMSW"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Lietz
• Lindsey Ann Lietz, AGACNP-BC
• Raymond Michael Lievens
• Life & Destiny Builders
• Life and Truth Counseling Services LLC
• Life Challenge of Southeastern Michigan
• Life Changing Crisis & Respite Center
• Life Encouragement Outreach Ministries
• Life Essentials Home Health Care, Inc
• Life Freedom Counseling LLC

• In Home Supportive Care Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.