Lyons, Jessica A
Lyons, Jessica A is an sole proprietor health care provider with primary practice located at 11751 Nottingham Rd , Detroit MI 48224-4100. She recently has 14 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Other Service Providers / Reflexologist, Other Service Providers / Meals, Agencies / Home Health, Agencies / Community/Behavioral Health, Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization, Agencies / In Home Supportive Care, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Adult Companion, Nursing Service Related Providers / Attendant Care Provider, Nursing Service Related Providers / Personal Care Attendant, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Nurse's Aide, Nursing Service Related Providers / Chore Provider. Nursing Service Related Providers / Chore Provider is her primary health care specialty. Lyons, Jessica A can be contacted via phone (313) 208-3219.Contact Information
Primary practice address
11751 Nottingham Rd
Detroit MI 48224-4100
Phone: (313) 208-3219
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Military Health Care Provider | 171000000X | ||
| Other Service Providers / Reflexologist | 173C00000X | ||
| Other Service Providers / Meals | 174200000X | ||
| Agencies / Home Health | 251E00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Agencies / Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | 251T00000X | ||
| Agencies / In Home Supportive Care | 253Z00000X | ||
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | ||
| Nursing Service Related Providers / Adult Companion | 372600000X | ||
| Nursing Service Related Providers / Attendant Care Provider | 3747A0650X | ||
| Nursing Service Related Providers / Personal Care Attendant | 3747P1801X | ||
| Nursing Service Related Providers / Homemaker | 376J00000X | ||
| Nursing Service Related Providers / Nurse's Aide | 376K00000X | ||
| Nursing Service Related Providers / Chore Provider | 372500000X |
Profile Details
| NPI number | 1255818977 |
|---|---|
| LBN Legal business name | Lyons, Jessica A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2018 |
| Last updated | May 31st, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255818977 | NPPES |
| Michigan | MEDICAID | 815059937 | |
| Michigan | Other | 372500000X |
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