OrganizationActive
Independent Home Care of Mi, LLC
NPI 1578991311 · Child Mental Illness Respite Care · Fenton, MI
Provider details
- NPI number
- 1578991311
- Entity type
- Organization
- Primary specialty
- Child Mental Illness Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Kathryn Flick, Director of Business Operations(810) 750-2713
Specialties & taxonomies
Respite Care Facility
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
14165 N Fenton Rd Ste 102b
Fenton, MI 48430-1148
Phone: (810) 750-2713
Fax: (810) 750-1261
Street-level locationGet directions
Mailing address
14165 N Fenton Rd Ste 102b
Fenton, MI 48430-1148
Registry dates
- Enumerated
- 2013-10-14
- Last updated
- 2013-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.