Active NPI
Lavish Healthcare
- Licensed Practical Nurse
- Detroit, MI
National Provider Identifier
1629585971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- Legal business name
- LAVISH HEALTHCARE
- Practice address
- 20558 Oakfield St
Detroit, MI 48235-2149 - Phone
- (313) 719-2171
- NPI assigned
- Jan 9, 2018
- Last updated
- Jun 16, 2018
- Organization subpart
- Yes
- Parent organization
- LAVISH HEALTHCARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Brathwaite, LPN
- Title
- Owner
- Phone
- (313) 719-2171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Primary |
Addresses
Primary practice location
20558 Oakfield St
Detroit, MI 48235-2149
Mailing address
20558 Oakfield St
Detroit, MI 48235-2149
Phone (313) 719-2171
National Provider Directory
National Provider Directory- Part of
- Lavish Healthcare
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529107200000",
"number": "1629585971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20558 OAKFIELD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352149",
"telephone_number": "313-719-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20558 OAKFIELD ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482352149",
"telephone_number": "313-719-2171"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAVISH HEALTHCARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LAVISH HEALTHCARE",
"enumeration_date": "2018-01-09",
"last_updated": "2018-06-16",
"status": "A",
"authorized_official_last_name": "BRATHWAITE",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-719-2171",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.