Healthcare Provider Details

I. General information

NPI: 1720940877
Provider Name (Legal Business Name): NON-MEDICAL RESILIENT HOMECARE LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2118 FERROL ST
LANSING MI
48910-0361
US

IV. Provider business mailing address

2118 FERROL ST
LANSING MI
48910-0361
US

V. Phone/Fax

Practice location:
  • Phone: 517-802-0581
  • Fax:
Mailing address:
  • Phone: 517-802-0581
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MARTINA L. HOADLEY
Title or Position: OWNER
Credential:
Phone: 517-802-0581