LAVONA ANGELA WISE
NPI 1386234607
Assisted Living Facility - Assisted Living, Mental Illness in Inkster, MI

Q: What is Lavona Wise's NPI number?

The NPI number for Lavona Wise is 1386234607. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Q: What is Lavona Wise's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Q: When was this NPI record last updated?

The NPPES record for Lavona Wise was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since January 20, 2021

28925 GLENWOOD ST, INKSTER, MI 48141(313) 461-8691 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2021, Mar 20, 2021, Jan 21, 2021 (3 updates tracked since 2021).

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About Lavona Angela Wise NPPES

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

LAVONA ANGELA WISE (NPI 1386234607) is an individual assisted living, mental illness provider in Inkster, Michigan and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1386234607

Entity TypeIndividualFemale

Primary Taxonomy3104A0625X

Provider Legal NameLAVONA ANGELA WISE

Location Address28925 GLENWOOD STInkster, MI 48141

Mailing Address28925 Glenwood StInkster, MI 48141-1625 · (313) 461-8691

Phone(313) 461-8691

Sole ProprietorYes

Enumeration DateJanuary 20, 2021

Last NPPES UpdateJune 8, 20213 updates tracked since enumeration

NPPES CertifiedJune 8, 2021

✔ NPI 1386234607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

Also ListedHome HealthTaxonomy 251E00000X

28925 GLENWOOD ST, Inkster, MI 48141

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Other Providers at the Same Location NPPES

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

XCEPTIONAL CARE LLC

Home Health

28925 GLENWOOD ST
INKSTER, MI 48141

Wayne County (313) 461-8691

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 Lavona Wise's NPI number?

The NPI number for Lavona Wise is 1386234607. It was assigned to this individual provider in the NPPES registry on January 20, 2021.

Where is Lavona Wise located?

Lavona Wise practices at 28925 Glenwood St, Inkster, MI 48141. The listed phone number is (313) 461-8691.

What is Lavona Wise's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Lavona Wise was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.