Lateisha Denise Hervey
Individual provider Active NPI Homemaker · Roseville, MI
NPI 1649952235 · NPPES record last updated Aug 2, 2023
Key facts
- NPI
- 1649952235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 30713 Hidden Pines LN
Roseville, MI 48066-7305 - Phone
- (313) 740-2724
- NPI assigned
- Aug 2, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
30713 Hidden Pines LN
Roseville, MI 48066-7305
Mailing address
30713 Hidden Pines LN
Roseville, MI 48066-7305
Phone (313) 740-2724
Other providers in Roseville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.