LAVONA A. WISE – NPI #1386234607
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

LAVONA WISE is an assisted living facility located in INKSTER, MI. NPPES has assigned the NPI number 1386234607 to LAVONA WISE on January 20, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 3104A0625X from the Health Care Provider Taxonomy code set, which is classified as Assisted Living Facility, specializing in Assisted Living, Mental Illness

The NPI profile was previously updated about 5 years ago on Jun 08, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAVONA WISE below.

NPI Profile for
LAVONA A. WISE

NPI Number
1386234607
Enumeration Date

(more than 5 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LAVONA A. WISE
Primary location
28925 GLENWOOD ST
INKSTER, MI 48141
Phone: (313) 461-8691 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Jun 08, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
3104A0625X
- Assisted Living Facility / Assisted Living, Mental Illness (Primary)
251E00000X
- Home Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.