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THE LOVING HEAD QUARTER
NPI 1093021859
Social Worker - Clinical in Oak Park, MI

Active since August 30, 2010
21820 BEVERLY ST, OAK PARK, MI 48237(248) 796-7291 Get Directions Write a Review

NPPES record last updated: November 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2018, Sep 26, 2018 (2 updates tracked since 2018).

About The Loving Head Quarter NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE LOVING HEAD QUARTER (NPI 1093021859) is a healthcare organization registered as a clinical in Oak Park, Michigan and active in the NPI registry since August 2010. The organization lists Shanell Clark, Officer, as its authorized official.

NPPES Registry Identity

NPI1093021859
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameFOUNTAIN OF LOVE ASSISTED LIVING INC
Location Address21820 BEVERLY STOak Park, MI 48237-2503
Mailing Address21820 Beverly StOak Park, MI 48237-2503 · (248) 796-7291
Phone(248) 796-7291
Organization SubpartNo
Authorized OfficialShanell ClarkOfficer · (248) 796-7291
Enumeration DateAugust 30, 2010
Last NPPES UpdateNovember 15, 20182 updates tracked since enumeration
✔ NPI 1093021859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedAssisted Living FacilityTaxonomy 310400000X · License AF630309030 (MI)
Also ListedCustodial Care Facility · Adult Care HomeTaxonomy 311ZA0620X
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X
Also ListedRespite CareTaxonomy 385H00000X
21820 BEVERLY ST, Oak Park, MI 48237
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Other Names 1

Other NameThe Loving Head Quarter

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOUNTAIN OF LOVE ASSISTED LIVING SEVICES INC
Clinic/Center (Adult Day Care)
21820 BEVERLY ST
OAK PARK, MI 48237
Oakland County (248) 796-7112
SHANELL CLARK
Nursing Home Administrator
21820 BEVERLY ST
OAK PARK, MI 48237
Oakland County (248) 234-6150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fountain Of Love Assisted Living Inc's NPI number?

The NPI number for Fountain Of Love Assisted Living Inc is 1093021859. It was assigned to this organization in the NPPES registry on August 30, 2010. The provider is also known as The Loving Head Quarter.

Where is Fountain Of Love Assisted Living Inc located?

Fountain Of Love Assisted Living Inc is located at 21820 Beverly St, Oak Park, MI 48237. The listed phone number is (248) 796-7291.

What is Fountain Of Love Assisted Living Inc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Fountain Of Love Assisted Living Inc was last updated on November 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.