LAKERIDGE VILLAGE, INC.
NPI 1144469461
Substance Abuse Rehabilitation Facility in Detroit, MI

Active since February 10, 2009
15941 FAIRFIELD ST, DETROIT, MI 48238(313) 345-4310(313) 345-4315 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 26, 2026, Oct 6, 2020, Sep 23, 2020 (3 updates tracked since 2020).

About Lakeridge Village, Inc. NPPES

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

LAKERIDGE VILLAGE, INC. (NPI 1144469461) is a healthcare organization registered as a substance abuse rehabilitation facility in Detroit, Michigan and active in the NPI registry since February 2009. The organization maintains a secondary practice location in Detroit and lists Eugenia Holimon, Chief Of Staff, as its authorized official.

NPPES Registry Identity

NPI1144469461
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameLAKERIDGE VILLAGE, INC.
Location Address15941 FAIRFIELD STDetroit, MI 48238-4123
Mailing Address15025 Fenkell StDetroit, MI 48227-2647 · (313) 345-4310 · Fax (313) 345-4315
Fax(313) 345-4315
Organization SubpartNo
Authorized OfficialEugenia HolimonChief Of Staff · (313) 340-2808
Enumeration DateFebruary 10, 2009
Last NPPES UpdateJanuary 26, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
NPI 1144469461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License Licensed in MI · 822985
Definition

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Also ListedLodgingTaxonomy 177F00000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedVoluntary or CharitableTaxonomy 251V00000X
Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X
15941 FAIRFIELD ST, Detroit, MI 48238

Secondary Practice Location 1

Location 115025 Fenkell StDetroit, MI 48227-2647 · Phone (313) 345-4310

Other Providers at the Same Location NPPES 20

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

Peer Specialist
15941 FAIRFIELD ST
DETROIT, MI 48238
Peer Specialist
15941 FAIRFIELD ST
DETROIT, MI 48238
Counselor (Addiction (Substance Use Disorder))
15941 FAIRFIELD ST
DETROIT, MI 48238
Counselor (Addiction (Substance Use Disorder))
15941 FAIRFIELD ST
DETROIT, MI 48238
Peer Specialist
15941 FAIRFIELD ST
DETROIT, MI 48238
Counselor (Addiction (Substance Use Disorder))
15941 FAIRFIELD ST
DETROIT, MI 48238
Contractor
15941 FAIRFIELD ST
DETROIT, MI 48238
Peer Specialist
15941 FAIRFIELD ST
DETROIT, MI 48238

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 Lakeridge Village, Inc.'s NPI number?

The NPI number for Lakeridge Village, Inc. is 1144469461. It was assigned to this organization in the NPPES registry on February 10, 2009.

Where is Lakeridge Village, Inc. located?

Lakeridge Village, Inc. is located at 15941 Fairfield St, Detroit, MI 48238. The listed phone number is (313) 345-4310.

What is Lakeridge Village, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Lakeridge Village, Inc. was last updated on January 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.