Organization
GRANNY'S HELPERS
Active
Other names
Granny's Helpers
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAKESHA S GREEN CAREGIVER (OWNER)
(313) 413-9827
Entity
Organization
Contact information
Practice address
16129 W MCNICHOLS RD, DETROIT, MI 48235-1704
(313) 370-7849
(231) 216-7861
Mailing address
16129 W MCNICHOLS RD, 16129 W MCNICHOLS RD, DETROIT, MI 48235
(313) 413-9827
(313) 413-5759
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
302R00000X
Health Maintenance Organization
—
—
305R00000X
Preferred Provider Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118128767
DUN
MI
05
—
1598446007
—
MI
05
—
1669046173
—
MI
01
—
1689537946
MEDICARE NUMBER
MI
05
—
1760056279
—
MI
01
—
ED1SRNSUN271
ED1
FM
Enumeration date
05/19/2021
Last updated
04/14/2026
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