Life Care at Home of Michigan Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

001 Issued in MI

Legal business name

LIFE CARE AT HOME OF MICHIGAN INC

Doing business as

AFFINITY HOSPICE OF LIFE

Practice address

15450 Northline Rd
Suite 102
Southgate, MI 48195-2398

Phone

(734) 284-4315

Fax

(734) 284-6125

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Pam Rau

Title

Vice President Finance

Phone

(423) 473-5280

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• AFFINITY HOSPICE OF LIFE Doing business as

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1811941461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5280",
            "fax_number": "423-339-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15450 NORTHLINE RD",
            "address_2": "SUITE 102",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952398",
            "telephone_number": "734-284-4315",
            "fax_number": "734-284-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE AT HOME OF MICHIGAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "RAU",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "423-473-5280"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MI",
            "license": "001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MICHIGAN",
            "identifier": "08734",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155177372",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFFINITY HOSPICE OF LIFE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ingrid Lewis, FNP
• Kenyatta Fatina Lewis, LLMSW
• Melissa Lewis, BSW LLMSW
• Hsiao-Wei Alice Liao, MSW
• Deanna Lynn Libra
• Makalah Light
• Crystal Yuet Wen Lim
• Kiesta Janell Lindsey
• Jenette Marie Lippiello, M.S.
• Lakeisha Elaine Lipsey, BS.SST

• Community Based Hospice Care Agency in Southgate, MI
• Providers in Southgate, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.