Organization Active NPI

Life Recovery LLC

  • In Home Supportive Care Agency
  • Canton, MI
National Provider Identifier
1669383220
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIFE RECOVERY LLC
Practice address
3964 Ravensfield Dr
Canton, MI 48188-7925
Phone
(734) 351-2926
Fax
(734) 340-2854
NPI assigned
Sep 14, 2026
Last updated
Sep 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Michele Elaine Faulkcon
Title
Owner
Phone
(734) 351-2926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3964 Ravensfield Dr
Canton, MI 48188-7925

Mailing address

46036 Michigan Ave # 141
Canton, MI 48188-2304
Phone (734) 351-2926

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1669383220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46036 MICHIGAN AVE # 141",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882304",
            "telephone_number": "734-351-2926",
            "fax_number": "734-340-2854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 RAVENSFIELD DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481887925",
            "telephone_number": "734-351-2926",
            "fax_number": "734-340-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "FAULKCON",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-351-2926"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.