EXPERIENCE LIVING, LLC (NPI# 1437663689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437663689 |
| Entity Type | Organization |
| Organization Name | EXPERIENCE LIVING, LLC |
| Other Organization Name | SKIPPERS ROAD VENTURES, LLC |
| Practice Address |
1829 Westridge Dr Rochester Hills MI 48306-3276 |
| Practice Telephone | 2487607665 |
| Mailing Telephone | 2487607665 |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |
| Authorized Official Name | STEFAN STRATION (PRESIDENT) |
| Authorized Official Telephone | 2487607665 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| Other Name | Type Code |
|---|---|
| Skippers Road Ventures, LLC | Doing Business As Name - Organization |
| Street Address |
1829 WESTRIDGE DR |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48306-3276 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750887188 | Richard Beck | Health Educator | 4986 N Adams Rd Suite D, Rochester, MI 48306 | 2018-04-04 |
| 1245733484 | Christopher C Smith | Registered Nurse | 2451 Westwood Dr, Rochester Hills, MI 48306 | 2018-03-14 |
| 1598268096 | Janet Miller Kniahymycky | Counselor | 3680 Edinborough Drive, Rochester Hills, MI 48306 | 2018-03-12 |
| 1477076750 | Laura Beth Leblanc | Dietitian, Registered | 4859 Freer Street, Rochester, MI 48306 | 2017-07-19 |
| 1477909141 | Danielle Monette | Technician, Other | 1918 Watson Circle, Rochester, MI 48306 | 2016-05-11 |
| 1881053254 | Autumn Fick | Social Worker | 3901 Beaubein Blvd, Children's Hospital of Mi, Detroit, MI 48306 | 2016-02-15 |
| 1538569959 | Margaret Smyth | Registered Nurse | 4986 Adams Rd, Suite D, Rochester, MI 48306 | 2014-09-04 |
| 1730433178 | Kendall Rose Lalko | Dietitian, Registered | 4986 Adams Road, Rochester, MI 48306 | 2012-11-07 |
| 1558691378 | Juliet Rachal Cumming | Residential Treatment Facility, Physical Disabilities | 2728 Partridge Dr., Rochester, MI 48306 | 2009-12-29 |
| 1073780300 | Cynthia Jean Gardiner | Pharmacist | 6970 N Rochester Rd, Rochester, MI 48306 | 2008-05-15 |
| Find all providers in zip 48306 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972127256 | Jennifer Shepherd | Early Intervention Provider Agency | 36380 Garfield Rd Ste 4, Clinton Township, MI 48035-1162 | 2020-06-03 |
| 1336674415 | Educating U4 Life Cdc | Early Intervention Provider Agency | 19321 W Chicago St, Detroit, MI 48228-1739 | 2017-04-26 |
| 1649711979 | Baby & Mom Wellness LLC | Early Intervention Provider Agency | 6689 Orchard Lake Rd Ste 233, W Bloomfield, MI 48322-3404 | 2017-03-20 |
| 1750828141 | Elizabeth Upjohn Community Healing Center | Early Intervention Provider Agency | 1603 Redstock Ave, Portage, MI 49024-4143 | 2017-01-24 |
| 1407392301 | Great Start LLC | Early Intervention Provider Agency | 21206 Clear Creek Blvd, Clinton Twp, MI 48036-1466 | 2017-01-16 |
| 1982149894 | Modern Day Midwifery LLC | Early Intervention Provider Agency | 15596 Thomas Ave, Allen Park, MI 48101-1948 | 2017-01-01 |
| 1073063541 | Cradle Connections LLC | Early Intervention Provider Agency | 18101 I Dr N, Marshall, MI 49068-9462 | 2016-10-09 |
| 1568916930 | Kelly Ann Stetser | Early Intervention Provider Agency | 725 E Main Ave, Zeeland, MI 49464-1331 | 2016-08-15 |
| 1083065767 | Diversified Educational Consulting Services | Early Intervention Provider Agency | 38086 Lantern Hill Ct, Farmington Hills, MI 48331-2896 | 2016-06-24 |
| 1639520562 | Family Matters II | Early Intervention Provider Agency | 14550 Westwood St, Detroit, MI 48223-2251 | 2016-06-22 |
| Find all providers with the same taxonomy | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48306 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.