Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Independent Lifestyle Clubhouse LLC

Adult Mental Health Clinic/Center in Inkster, MI · enumerated 2016 · authorized official Shondra Jackson, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235685694

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Registry record

Entity type Organization (Type 2)

Legal business name Independent Lifestyle Clubhouse LLC

Practice address 4427 Inkster Rd, Inkster, MI, 48141

Phone (313) 622-3287

Enumeration date Aug 26, 2016

Last updated in NPPES Feb 5, 2019

Taxonomy & classification

261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Shondra Jackson

Title Director

Phone (313) 622-3287

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Independent Lifestyle Clubhouse LLC?

Independent Lifestyle Clubhouse LLC is registered in NPPES as a Adult Mental Health Clinic/Center (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-02-05.