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SE MICHIGAN SENIOR SERVICES LLC
NPI 1164194403
Home Delivered Meals in Pontiac, MI

Active since October 05, 2021
1915 BALDWIN AVE, PONTIAC, MI 48340(248) 335-7020(248) 335-0141 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 18, 2021, Oct 5, 2021 (2 updates tracked since 2021).

About Se Michigan Senior Services Llc NPPES

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

SE MICHIGAN SENIOR SERVICES LLC (NPI 1164194403), doing business as Baldwin House Lakeside I, Lakeside Ii & Oakland, is a healthcare organization registered as a home delivered meals in Pontiac, Michigan and active in the NPI registry since October 2021. The organization maintains 2 additional practice locations and lists Jillian J Tisch, Authorized Personnel, as its authorized official.

NPPES Registry Identity

NPI1164194403
Entity TypeOrganization
Primary Taxonomy332U00000X
Legal Business NameSE MICHIGAN SENIOR SERVICES LLC
Location Address1915 BALDWIN AVEPontiac, MI 48340-1173
Mailing Address6905 Telegraph Rd Ste 360Bloomfield Hills, MI 48301-3189 · (248) 545-0707 · Fax (248) 545-0270
Phone(248) 335-7020
Fax(248) 335-0141
Organization SubpartNo
Authorized OfficialJillian J TischAuthorized Personnel · (248) 545-0707
Enumeration DateOctober 5, 2021
Last NPPES UpdateOctober 18, 20212 updates tracked since enumeration
NPPES CertifiedOctober 18, 2021
✔ NPI 1164194403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHome Delivered MealsSuppliers
Taxonomy Code332U00000X
Definition
Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral.
Also ListedHomemakerTaxonomy 376J00000X
1915 BALDWIN AVE, Pontiac, MI 48340
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Other Names 1

Doing Business AsBaldwin House Lakeside I, Lakeside Ii & Oakland

Secondary Practice Locations 2

Location 115731 19 Mile RdClinton Township, MI 48038-6315 · Phone (586) 263-0081 · Fax (586) 412-1672
Location 215821 19 Mile RdClinton Township, MI 48038-6320 · Phone (586) 228-8889 · Fax (586) 263-9486

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

OAKLAND LIMITED DIVIDEND HOUSING ASSOCIATION LLC
Home Delivered Meals
1915 BALDWIN AVE
PONTIAC, MI 48340
Oakland County (248) 335-7020
THE MEDICAL TEAM, INC.
Home Health
1915 BALDWIN AVE
PONTIAC, MI 48340
Oakland County (180) 038-2594
CUSTOM CARE TEAM, INC.
Specialist
1915 BALDWIN AVE
PONTIAC, MI 48340
Oakland County (734) 779-9799

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 SE Michigan Senior Services LLC's NPI number?

The NPI number for SE Michigan Senior Services LLC is 1164194403. It was assigned to this organization in the NPPES registry on October 5, 2021. The provider is doing business as Baldwin House Lakeside I, Lakeside II & Oakland.

Where is SE Michigan Senior Services LLC located?

SE Michigan Senior Services LLC is located at 1915 Baldwin Ave, Pontiac, MI 48340. The listed phone number is (248) 335-7020.

What is SE Michigan Senior Services LLC's specialty?

The primary specialty registered for this NPI is Home Delivered Meals with taxonomy code 332U00000X.

When was this NPI record last updated?

The NPPES record for SE Michigan Senior Services LLC was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.