Organization Active NPI

Favorside Community Living Homes, LLC

  • Custodial Care Facility
  • Redford, MI
National Provider Identifier
1851289862
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
FAVORSIDE COMMUNITY LIVING HOMES, LLC
Practice address
9116 Grayfield
Redford, MI 48239-1132
Phone
(313) 682-6370
NPI assigned
Jun 26, 2025
Last updated
Jun 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Lenden Favors, BA, MML
Title
Ceo
Phone
(313) 682-6370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

9116 Grayfield
Redford, MI 48239-1132

Mailing address

9116 Grayfield
Redford, MI 48239-1132
Phone (313) 682-6370

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1851289862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9116 GRAYFIELD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391132",
            "telephone_number": "313-682-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9116 GRAYFIELD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391132",
            "telephone_number": "313-682-6370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAVORSIDE COMMUNITY LIVING HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "FAVORS",
        "authorized_official_first_name": "LENDEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-682-6370",
        "authorized_official_credential": "BA, MML"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.