Organization Active NPI

Lucky's Heart Home Care LLC

  • In Home Supportive Care Agency
  • Flint, MI
National Provider Identifier
1922801620
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LUCKY'S HEART HOME CARE LLC
Practice address
G3500 Flushing Rd Ste 262H
Flint, MI 48504-4235
Phone
(810) 955-3416
NPI assigned
Mar 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Dominique RedmondNPI 1487456661
Title
Owner
Phone
(810) 965-5846

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

G3500 Flushing Rd Ste 262H
Flint, MI 48504-4235

Mailing address

G3500 Flushing Rd Ste 262H
Flint, MI 48504-4235
Phone (810) 955-3416

National Provider Directory

National Provider Directory

Locations

G3500 Flushing Rd
Ste 262H
Flint, MI 48504
Phone (810) 955-3416

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1922801620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G3500 FLUSHING RD STE 262H",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044235",
            "telephone_number": "810-955-3416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3500 FLUSHING RD STE 262H",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044235",
            "telephone_number": "810-955-3416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCKY'S HEART HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-965-5846"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.