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

Lakeridge Village, Inc

Organization Lodging Provider · NPI 1144469461

Lakeridge Village, Inc is a Lodging Provider in Detroit, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2009
Specialties on file
7
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

15941 Fairfield St
Detroit, MI 48238-4123
Phone: (313) 345-4310
Fax: (313) 345-4315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15025 Fenkell St, Detroit, MI 48227-2647 — (313) 345-4310

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 822985 (MI)
Lodging Provider Taxonomy 177F00000X
Case Management Agency Taxonomy 251B00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Voluntary or Charitable Agency Taxonomy 251V00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X

Record details

NPI number1144469461
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eugenia Holimon — Chief Of Staff · (313) 340-2808
NPI enumeratedFebruary 10, 2009
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026
Mailing address15025 Fenkell St, Detroit, MI 48227-2647

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