NPIMap

Organization Active NPI

Lavish Living Home Care

  • In Home Supportive Care Agency
  • Detroit, MI
National Provider Identifier
1902202989
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LAVISH LIVING HOME CARE
Practice address
10055 Beaverland
Detroit, MI 48239-1386
Phone
(313) 286-1409
NPI assigned
Nov 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Tameka Lasha Hicks
Title
Owner
Phone
(313) 286-1409

Specialties & licenses 1

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

Addresses

Primary practice location

10055 Beaverland
Detroit, MI 48239-1386

Mailing address

10055 Beaverland
Detroit, MI 48239-1386
Phone (313) 286-1409

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1902202989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10055 BEAVERLAND",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482391386",
            "telephone_number": "313-286-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10055 BEAVERLAND",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482391386",
            "telephone_number": "313-286-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVISH LIVING HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_middle_name": "LASHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-286-1409"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 18, 2014; 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.