NPIMap

Organization Active NPI

My Independent Living Inc.

  • In Home Supportive Care Agency
  • Warren, MI
National Provider Identifier
1841674918
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MY INDEPENDENT LIVING INC.
Practice address
29417 Hoover Rd
Warren, MI 48093-3480
Phone
(586) 806-2242
NPI assigned
Jul 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Mrs. Misty Lynn Lawrence
Title
Owner
Phone
(586) 806-2242

Specialties & licenses 1

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

Addresses

Primary practice location

29417 Hoover Rd
Warren, MI 48093-3480

Mailing address

29417 Hoover Rd
Warren, MI 48093-3480
Phone (586) 806-2242

Other names 1

  • My Independent Living Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

29417 Hoover Rd
Warren, MI 48093
Phone (586) 806-2242

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1841674918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29417 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933480",
            "telephone_number": "586-806-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29417 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933480",
            "telephone_number": "586-806-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY INDEPENDENT LIVING INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-806-2242",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Independent Living Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 17, 2015; 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.