Organization Active NPI

Lark Home Care

  • In Home Supportive Care Agency
  • Clinton TWP, MI
National Provider Identifier
1720600646
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LARK HOME CARE
Practice address
17696 Montage
Clinton TWP, MI 48038-3807
Phone
(313) 287-3251
Fax
(586) 477-4687
NPI assigned
May 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Kenita Lark
Title
Owner
Phone
(313) 287-3251

Specialties & licenses 1

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

Addresses

Primary practice location

17696 Montage
Clinton TWP, MI 48038-3807

Mailing address

17696 Montage
Clinton TWP, MI 48038-3807
Phone (313) 287-3251

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1720600646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17696 MONTAGE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383807",
            "telephone_number": "313-287-3251",
            "fax_number": "586-477-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17696 MONTAGE",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480383807",
            "telephone_number": "313-287-3251",
            "fax_number": "586-477-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARK HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "LARK",
        "authorized_official_first_name": "KENITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-287-3251"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.