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NPI 1578935011 · Health Maintenance Organization · Dearborn, MI
Provider details
- NPI number
- 1578935011
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Lashawn Davis, Director(313) 422-5183
Specialties & taxonomies
Managed Care Organizations
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
115 Lake Village Blvd
Dearborn, MI 48120-1665
Phone: (313) 422-5183
Street-level locationGet directions
Mailing address
115 Lake Village Blvd
Dearborn, MI 48120-1665
Registry dates
- Enumerated
- 2015-10-23
- Last updated
- 2015-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.