LSJ Family Village Care Team LLC

Primary specialty

Chore ProviderTaxonomy code 372500000X

Legal business name

LSJ FAMILY VILLAGE CARE TEAM LLC

Doing business as

LSJ FAMILY CARE TEAM

Practice address

24634 5 Mile Rd Ste 19
Redford, MI 48239-3667

Phone

(877) 742-6833

NPI assigned

Nov 25, 2024

Organization subpart

No

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

Authorized official

Name

Ladawn Jones-Richardson

Title

Director

Phone

(877) 742-6833

Specialties & licenses 2

Addresses

Other names 1

• LSJ FAMILY CARE TEAM Doing business as

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1689490559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24634 5 MILE RD STE 19",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393667",
            "telephone_number": "877-742-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24634 5 MILE RD STE 19",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482393667",
            "telephone_number": "877-742-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSJ FAMILY VILLAGE CARE TEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "JONES-RICHARDSON",
        "authorized_official_first_name": "LADAWN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "877-742-6833"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LSJ FAMILY CARE TEAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chore Provider in Redford, MI
• Providers in Redford, MI by specialty
• Chore Provider in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.