OrganizationActive
Lakeridge Village, Inc.
NPI 1144469461 · Substance Abuse Rehabilitation Facility · Detroit, MI
Provider details
- NPI number
- 1144469461
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Eugenia Holimon, Chief of Staff(313) 340-2808
Specialties & taxonomies
Residential Treatment Facilities
- Case Management Agency251B00000X
Agencies
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
- Lodging Provider177F00000X
Other Service Providers
- Voluntary or Charitable Agency251V00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15941 Fairfield St
Detroit, MI 48238-4123
Phone: (313) 345-4310
Fax: (313) 345-4315
Street-level locationGet directions
Mailing address
15025 Fenkell St
Detroit, MI 48227-2647
Additional practice locations (1)
- 15025 Fenkell StDetroit, MI 48227-2647Phone: (313) 345-4310
Registry dates
- Enumerated
- 2009-02-10
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.