OrganizationActive
Randys Place LLC
NPI 1720874423 · Custodial Care Facility · Detroit, MI
Provider details
- NPI number
- 1720874423
- Entity type
- Organization
- Primary specialty
- Custodial Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Endia Hawkins, Owner(313) 479-6199
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Home Health Agency251E00000X
Agencies
Nursing & Custodial Care Facilities
- Non-emergency Medical Transport (VAN)343900000X
Transportation Services
Practice location
5910 Lakewood St
Detroit, MI 48213-3639
Phone: (313) 479-6199
Fax: (313) 391-5799
Approximate (ZIP-level) locationGet directions
Mailing address
5816 Newport St
Detroit, MI 48213-3641
Registry dates
- Enumerated
- 2025-04-17
- Last updated
- 2025-05-12
- Certified
- 2025-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.