Provider Demographics
NPI:1760056279
Name:GRANNY'S HELPERS
Entity type:Organization
Organization Name:GRANNY'S HELPERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAKESHA
Authorized Official - Middle Name:S
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:CAREGIVER
Authorized Official - Phone:313-370-7849
Mailing Address - Street 1:16129 W MCNICHOLS RD
Mailing Address - Street 2:16129 W MCNICHOLS RD
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235
Mailing Address - Country:US
Mailing Address - Phone:313-370-7849
Mailing Address - Fax:231-216-7861
Practice Address - Street 1:16129 W MCNICHOLS RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-1704
Practice Address - Country:US
Practice Address - Phone:313-370-7849
Practice Address - Fax:231-216-7861
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1760056279Medicaid
MI118128767OtherDUN
MI1598446007Medicaid
MI1669046173Medicaid
FMED1SRNSUN271OtherED1