Lakeridge Village, Inc.

LBN: Lakeridge Village, Inc.
Lakeridge Village, Inc. is an health care organization with primary practice located at 15941 Fairfield St , Detroit MI 48238-4123. The organization recently has 7 registered licenses in different health care specialties including Other Service Providers / Lodging, Agencies / Case Management, Agencies / Community/Behavioral Health, Agencies / Voluntary or Charitable, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, Transportation Services / Non-emergency Medical Transport (VAN). Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Lakeridge Village, Inc. can be contacted via phone (313) 345-4310, or through Holimon, Eugenia via phone (313) 340-2808.

Contact Information

Primary practice address
15941 Fairfield St Detroit MI 48238-4123
Phone: (313) 345-4310
Fax: (313) 345-4315
Website:
Map and Directions
Authorized official contact:
Name: Holimon, Eugenia
Phone: (313) 340-2808

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lodging 177F00000X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Voluntary or Charitable 251V00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 822985 Michigan
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1144469461
LBN Legal business name Lakeridge Village, Inc.
DBA Doing business as
Authorized official Holimon, Eugenia
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2009
Last updated Jan 26th, 2026 - about 9 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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