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INDEPENDENT LIFESTYLE CLUBHOUSE LLC
NPI 1235685694
Clinic/Center - Adult Mental Health in Inkster, MI

Active since August 26, 2016
4427 INKSTER RD, INKSTER, MI 48141(313) 622-3287 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2019, Aug 26, 2016 (2 updates tracked since 2016).

About Independent Lifestyle Clubhouse Llc NPPES

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

INDEPENDENT LIFESTYLE CLUBHOUSE LLC (NPI 1235685694) is a healthcare organization registered as an adult mental health in Inkster, Michigan and active in the NPI registry since August 2016. The organization lists Shondra Lynn Jackson, Director, as its authorized official.

NPPES Registry Identity

NPI1235685694
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameINDEPENDENT LIFESTYLE CLUBHOUSE LLC
Location Address4427 INKSTER RDInkster, MI 48141-3058
Mailing Address29723 Steinhauer StInkster, MI 48141-3419 · (313) 622-3287
Phone(313) 622-3287
Organization SubpartNo
Authorized OfficialShondra Lynn JacksonDirector · (313) 622-3287
Enumeration DateAugust 26, 2016
Last NPPES UpdateFebruary 5, 20192 updates tracked since enumeration
✔ NPI 1235685694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
4427 INKSTER RD, Inkster, MI 48141
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan.Insurance ›

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 Independent Lifestyle Clubhouse LLC's NPI number?

The NPI number for Independent Lifestyle Clubhouse LLC is 1235685694. It was assigned to this organization in the NPPES registry on August 26, 2016.

Where is Independent Lifestyle Clubhouse LLC located?

Independent Lifestyle Clubhouse LLC is located at 4427 Inkster Rd, Inkster, MI 48141. The listed phone number is (313) 622-3287.

What is Independent Lifestyle Clubhouse LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

What insurance does Independent Lifestyle Clubhouse LLC accept?

Health plans from Blue Care Network of Michigan list Independent Lifestyle Clubhouse LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Independent Lifestyle Clubhouse LLC was last updated on February 5, 2019. 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.