Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fountain of Love Assisted Living Inc

Organization Clinical Social Worker · NPI 1093021859

Fountain of Love Assisted Living Inc is a Clinical Social Worker in Oak Park, Michigan. Licensed in Michigan. Registered with an NPI since 2010.

Licensed in
MI
In the registry since
2010
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21820 Beverly St
Oak Park, MI 48237-2503
Phone: (248) 796-7291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Assisted Living Facility Taxonomy 310400000X · Licence AF630309030 (MI)
Adult Care Home Facility Taxonomy 311ZA0620X
Mental Illness Community Based Residential Treatment Facility Taxonomy 320800000X
Respite Care Taxonomy 385H00000X

Record details

NPI number1093021859
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shanell Clark — Officer · (248) 796-7291
Other names The Loving Head Quarter; The Loving Head Quarter
NPI enumeratedAugust 30, 2010
Last updated in NPPESNovember 15, 2018
Mailing address21820 Beverly St, Oak Park, MI 48237-2503

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