LACTATION VILLAGE, LLC (NPI# 1023405974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023405974 |
| Entity Type | Organization |
| Organization Name | LACTATION VILLAGE, LLC |
| Practice Address |
14210 Glenwood St Detroit MI 48205-2829 |
| Practice Telephone | 3139204914 |
| Practice Fax Number | 2488099888 |
| Mailing Telephone | 3139204914 |
| Mailing Fax Number | 2488099888 |
| Enumeration Date | 2015-04-17 |
| Last Update Date | 2015-04-17 |
| Authorized Official Name | MRS. STACY DAVIS (EXECUTIVE DIRECTOR/IBCLC) |
| Authorized Official Telephone | 3139204914 |
| Authorized Official Credential | IBCLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | L-56572 | MI | Agencies |
| Street Address |
14210 GLENWOOD ST |
| City | DETROIT |
| State | MI |
| Zip Code | 48205-2829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275938391 | Stacy Davis | Lactation Consultant, Non-RN | 14210 Glenwood St, Detroit, MI 48205-2829 | 2014-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593813 | Primary Healthcare Doctors LLC | Home Health | 13641 7e, Detroit, MI 48205 | 2020-03-18 |
| 1841774528 | Belief Aghoghome Emadamerho | Pharmacist | 13641 East 7 Mile Rd, Detroit, MI 48205 | 2018-09-19 |
| 1770080053 | Leonisha Langford | Licensed Practical Nurse | 16285 Eastpointe, Detroit, MI 48205 | 2018-04-12 |
| 1255856522 | Lakina Moseley | Psychologist | 19601 Crusade St, Detroit, MI 48205 | 2017-08-08 |
| 1881124907 | Shannon B Nesbitt | Licensed Practical Nurse | 20074 Strasburg, Detroit, MI 48205 | 2017-06-13 |
| 1093106155 | Lakeniya Hicks | Home Health Aide | 11270 Kennebec St, Detroit, MI 48205 | 2015-02-11 |
| 1801222005 | Anthony Bonner | Counselor | 4251 E. Mcnichols, Hamtrack, MI 48205 | 2013-09-19 |
| 1265722649 | Vip Home Help Care LLC | In Home Supportive Care | 17801 Rowe St, Deroit, MI 48205 | 2011-04-19 |
| 1588898894 | Brighten Quality Health Care | Home Health | 15031 Troester, Detroit, MI 48205 | 2009-05-14 |
| 1639372717 | Stewart Reynolds | Specialist | 1475 E. Outer Drive, Detroit, MI 48205 | 2007-06-07 |
| Find all providers in zip 48205 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588285001 | Kadeidra Woods | In Home Supportive Care | 18709 Albion St, Detroit, MI 48234-3701 | 2020-05-06 |
| 1497375547 | Continuum Loving Care, LLC | In Home Supportive Care | 16724 Saint Marys St, Detroit, MI 48235-3653 | 2020-04-19 |
| 1225670656 | Veronica Louise Williams | In Home Supportive Care | 7601 E Jefferson Ave Apt 512, Detroit, MI 48214-3720 | 2019-10-17 |
| 1386298438 | Jewels Home Health Care Service, LLC | In Home Supportive Care | 14005 Roselawn St, Detroit, MI 48238-2469 | 2019-07-27 |
| 1154974541 | Tracie's Loving Touch Senior Services LLC | In Home Supportive Care | 18273 Lenore, Detroit, MI 48219-3046 | 2019-07-24 |
| 1477105369 | Cam Fam Community Care LLC | In Home Supportive Care | 16718 Vaughan St, Detroit, MI 48219-3356 | 2019-07-11 |
| 1326500547 | Averies Care Services LLC | In Home Supportive Care | 18717 Schaefer Hwy, Detroit, MI 48235-1767 | 2019-04-05 |
| 1962985598 | Delanie House LLC | In Home Supportive Care | 9530 Chatham, Detroit, MI 48239-1306 | 2018-09-10 |
| 1427536226 | Imperial Jewelry By Ellice, Inc | In Home Supportive Care | 13704 Keal St # 101, Detroit, MI 48227-3019 | 2018-08-02 |
| 1134605363 | Phoenix Wings | In Home Supportive Care | 2222 Lothrop St, Detroit, MI 48206-2672 | 2018-07-11 |
| Find all providers in DETROIT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.