REAL LIFE LIVING SERVICES, INC (NPI# 1528260700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528260700 |
| Entity Type | Organization |
| Organization Name | REAL LIFE LIVING SERVICES, INC |
| Practice Address |
2920 Fuller Ave Ne Ste 103 Grand Rapids MI 49505-3458 |
| Mailing Address |
Po Box 3915 Ann Arbor MI 48106-3915 |
| Practice Telephone | 7344769834 |
| Practice Fax Number | 2318874422 |
| Mailing Telephone | 7344769834 |
| Mailing Fax Number | 2318874422 |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-07-23 |
| Authorized Official Name | BENJAMIN JON WOODSIDE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7344769834 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
2920 FULLER AVE NE STE 103 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49505-3458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285276097 | Molly Beth Kerkstra | Home Health Aide | 1115 Ball Ave Nw, Grand Rapids, MI 49505 | 2019-10-14 |
| 1154849677 | Roshawn Nichol Whitley | Technician | 891 Maryland Ave, Grand Rapids, MI 49505 | 2017-09-05 |
| 1447778923 | Kelly Benzin-brinks | Social Worker | 1965 3 Mile Rd Ne, Grand Rapids, MI 49505 | 2017-09-05 |
| 1033560404 | Taylor Nolan Boyd | Speech-Language Pathologist | 400 Ann St Ne Ste 106a, Grand Rapids, MI 49505 | 2016-06-28 |
| 1023465002 | Calvin Athy | Counselor | 1101 Ballave Ne, Grand Rapids, MI 49505 | 2016-05-19 |
| 1821456682 | Kelly Van Huisen | Counselor | 1115 Ball Avenue Ne, Building B, Grand Rapids, MI 49505 | 2016-02-08 |
| 1780051102 | Mark Squeteri | Social Worker | 1345 Monroe Ave Nw Ste 234, Grand Rapids, MI 49505 | 2015-09-02 |
| 1346637337 | Shelby Fullington | Social Worker | 1011 Ball Ave Ne, Grand Rapids, MI 49505 | 2015-04-17 |
| 1457745325 | Lester Anderson II | Social Worker | 1115 Ball Ave, Grand Rapids, MI 49505 | 2015-03-27 |
| 1730570151 | Nicole Brown | Counselor | 1345 Monroe Ave Nw Ste 204, Grand Rapids, MI 49505 | 2015-02-06 |
| Find all providers in zip 49505 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992332621 | Nrmi, LLC | Home Health | 769 Seward Ave Nw Ste 101, Grand Rapids, MI 49504-5191 | 2020-03-24 |
| 1972140333 | Northwoods Villa Inc. | Home Health | 1905 W Us Highway 2, Grand Rapids, MN 55744-4738 | 2019-12-04 |
| 1912568239 | Devoted 2u Home Care LLC | Home Health | 1300 Underwood Ave Se, Grand Rapids, MI 49506-3268 | 2019-06-26 |
| 1205397890 | Kiss Ent LLC | Home Health | 2908 Giddings Ave Se, Grand Rapids, MI 49508-1430 | 2019-03-27 |
| 1497210017 | Bella Mente Inc. | Home Health | 114 Brock Ln, Grand Rapids, MN 55744-9211 | 2019-02-07 |
| 1134698848 | Passionate Caregivers LLC | Home Health | 508 Fontenelle St Se, Grand Rapids, MI 49548-7317 | 2018-11-26 |
| 1063920494 | Lmk Home Health Services-llc | Home Health | 3265 Dawes Ave Se, Grand Rapids, MI 49508-1538 | 2018-01-19 |
| 1225547920 | Praying Hands Home Care LLC Thanks | Home Health | 4922 Division Ave S Ste 4, Grand Rapids, MI 49548-4496 | 2017-09-25 |
| 1912421710 | Annie Bethel LLC | Home Health | 625 Kenmoor Ave Se Ste 350, Grand Rapids, MI 49546-2395 | 2017-08-02 |
| 1538612692 | Hands of Praise Home Care | Home Health | 1112 Benjamin Ave Se, Grand Rapids, MI 49506-3225 | 2016-07-25 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49505 |
Please comment or provide details below to improve the information on REAL LIFE LIVING SERVICES, INC.
| 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.