Active NPI
J. Lewis Development Corporation
- In Home Supportive Care Agency
- Detroit, MI
National Provider Identifier
1841851615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- J. LEWIS DEVELOPMENT CORPORATION
- Doing business as
- Four Seasons Housing & Care, Inc.
- Practice address
- 12048 Grand River Ave
Detroit, MI 48204-1836 - Phone
- (248) 416-8903
- Fax
- (248) 415-1518
- NPI assigned
- Jun 24, 2019
- 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
- Dr. Jamita Renae Lewis, PHD
- Title
- Owner
- Phone
- (313) 647-2789
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Respite Care | 385H00000X | |||
| Child Mental Illness Respite Care | 385HR2055X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | |||
| Child Physical Disabilities Respite Care | 385HR2065X |
Addresses
Primary practice location
12048 Grand River Ave
Detroit, MI 48204-1836
Mailing address
27027 Lincolnshire Dr
Southfield, MI 48034-4706
Phone (313) 647-2789
Other names 1
- Four Seasons Housing & Care, Inc.
National Provider Directory
National Provider DirectoryLocations
12048 Grand River Ave
Detroit, MI 48204
Phone (313) 491-0003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561334400000",
"number": "1841851615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27027 LINCOLNSHIRE DR",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480344706",
"telephone_number": "313-647-2789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12048 GRAND RIVER AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482041836",
"telephone_number": "248-416-8903",
"fax_number": "248-415-1518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J. LEWIS DEVELOPMENT CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-24",
"last_updated": "2019-06-24",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "JAMITA",
"authorized_official_middle_name": "RENAE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-647-2789",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2065X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Physical Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Four Seasons Housing & Care, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.