Active NPI
Holy Family LLC.
Doing business as Holy Family Living Center
- Foster Care Agency
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tino Raju Manimalethu, PTA.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Therapy Assistant
- Louisville, KY
- NPI 1639417512
-
- Pharmacist
- Almont, MI
- NPI 1114219490
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.