MEDICARE: MS. LAKISHA RESHAUN IVORY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1447117528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LAKISHA RESHAUN IVORY

Provider Business Mailing Address
First Line	:	14237 CHERRYLAWN ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48238-2447
Country	:	US
Telephone Number	:	734-406-9062
Fax Number	:

Provider Business Practice Location Address
First Line	:	14237 CHERRYLAWN ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48238-2447
Country	:	US
Telephone Number	:	734-406-9062
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

Similar Medicare Providers

1689725020 — MS. PARTHENIA HENRY R.N.
Practice Location Address:

3681 PRESTON ST
DETROIT, MI
48207-2447

Practice Phone: 313-925-9047
Practice Fax:

1679781371 — HEALTH CARE PLUS CONSULTING LLC
Practice Location Address:

17144 KENTUCKY ST
DETROIT, MI
48221-2447

Practice Phone: 313-300-3738
Practice Fax: 313-449-5862

1407233794 — ANJULITA SHABAZZ
Practice Location Address:

17160 KENTUCKY ST
DETROIT, MI
48221-2447

Practice Phone: 313-212-5439
Practice Fax:

1013797323 — MS. JENNIFER D TIGGS LABOR DOULA
Practice Location Address:

4072 W PHILADELPHIA ST
DETROIT, MI
48204-2447

Practice Phone: 313-918-8018
Practice Fax:

1639937600 — MRS. SHAINA LYNN DASGUPTA
Practice Location Address:

2447 GLADSTONE ST
DETROIT, MI
48206-2239

Practice Phone: 313-208-5102
Practice Fax:

1376382804 — MORGAN JOHNSON
Practice Location Address:

8539 LA SALLE BLVD
DETROIT, MI
48206-2447

Practice Phone: 773-600-1044
Practice Fax:

Directions to “ MS. LAKISHA RESHAUN IVORY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.