Organization Active NPI

Holy Family LLC.

Doing business as Holy Family Living Center

  • Foster Care Agency
  • Warren, MI
National Provider Identifier
1699438754
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
Legal business name
HOLY FAMILY LLC.
Doing business as
Holy Family Living Center
Practice address
2850 Parent Ave
Warren, MI 48092-2472
Phone
(586) 578-9526
Fax
(586) 782-3847
NPI assigned
Oct 15, 2021
Last updated
Oct 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Authorized official

Name
Mr. Tino Raju Manimalethu, PTA.NPI 1639417512
Title
Administrator
Phone
(586) 578-9526

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X NU Primary

Addresses

Primary practice location

2850 Parent Ave
Warren, MI 48092-2472

Mailing address

49650 Lakebridge Dr
Shelby TWP, MI 48315-3511
Phone (586) 737-7144

Other names 1

  • Holy Family Living Center Doing business as

National Provider Directory

National Provider Directory

Locations

2850 Parent Ave
Warren, MI 48092
Phone (586) 578-9526

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1699438754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49650 LAKEBRIDGE DR",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483153511",
            "telephone_number": "586-737-7144",
            "fax_number": "586-782-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 PARENT AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480922472",
            "telephone_number": "586-578-9526",
            "fax_number": "586-782-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY FAMILY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "MANIMALETHU",
        "authorized_official_first_name": "TINO",
        "authorized_official_middle_name": "RAJU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "586-578-9526",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PTA."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Family Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.