Randys Place LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

RANDYS PLACE LLC

Practice address

5910 Lakewood St
Detroit, MI 48213-3639

Phone

(313) 479-6199

Fax

(313) 391-5799

NPI assigned

Apr 17, 2025

Organization subpart

No

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

Authorized official

Name

Endia Hawkins, BSN, RNNPI 1538740899

Title

Owner

Phone

(313) 479-6199

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Endia A Hawkins, BSN, RN

  • Registered Nurse
  • Detroit, MI
  • NPI 1538740899
  NPD Authorized official

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1720874423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 NEWPORT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 LAKEWOOD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482133639",
            "telephone_number": "313-479-6199",
            "fax_number": "313-391-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDYS PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-05-12",
        "certification_date": "2025-04-19",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "ENDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-479-6199",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel A Randolph, MD
• Jazmine S Randolph
• La'Shunti Randolph, LLMSW
• Tonia Denise Randolph
• Lisa Marie Randon, M.D.
• Elizabeth Anne Ranella, CRNA
• Louis Anthony Ranella, CRNA
• Kiran P Ranganath, B.D.S., M.P.H
• Poornima Ranganathan, MD
• Sowkya Rangarajan, MD

• Custodial Care Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Custodial Care Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.