LIFE SKILLS RESIDENTIAL, LLC (NPI# 1689005399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689005399 |
| Entity Type | Organization |
| Organization Name | LIFE SKILLS RESIDENTIAL, LLC |
| Practice Address |
28555 Orchard Lake Rd Suite 106 Farmington Hills MI 48334-2973 |
| Practice Telephone | 2485365080 |
| Mailing Telephone | 2485365080 |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2013-12-05 |
| Authorized Official Name | MR. NATE GARDIN (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2487884300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Street Address |
28555 ORCHARD LAKE RD SUITE 106 |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334-2973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972587475 | James E Labes | Obstetrics & Gynecology | 28555 Orchard Lake Rd, Ste 120, Farmington Hills, MI 48334 | 2005-11-30 |
| 1285007831 | Stephanie Osantoski | Occupational Therapist | 28555 Orchard Lake Rd, Suite 106, Farmington Hills, MI 48334-2973 | 2015-11-04 |
| 1144618448 | Lori Silverstein | Speech-Language Pathologist | 28555 Orchard Lake Rd, Suite 106, Farmington Hills, MI 48334-2973 | 2015-01-08 |
| 1124459979 | Tani M Herdell | Psychologist | 28555 Orchard Lake Rd, Suite 106, Farmington Hills, MI 48334-2973 | 2013-12-04 |
| 1912337007 | Stephanie Gerwolls | Occupational Therapy Assistant | 28555 Orchard Lake Rd, Farmington Hills, MI 48334-2973 | 2013-11-26 |
| 1700216975 | Jeffrey Wilbur | Occupational Therapist | 28555 Orchard Lake Rd, Suite #106, Farmington Hills, MI 48334-2973 | 2013-11-25 |
| 1104153766 | Stephanie Lynn Breining | Nurse Practitioner | 28555 Orchard Lake Rd, Suite 120, Farmington Hills, MI 48334-2973 | 2009-11-03 |
| 1720232226 | Raminder Canday Singh | Physical Therapist | 28555 Orchard Lake Rd, Ste 120, Farmington Hills, MI 48334-2973 | 2008-11-11 |
| 1891941415 | The Ww Group, Inc. | Public Health or Welfare | 28555 Orchard Lake Rd, Farmington Hills, MI 48334-2973 | 2008-08-14 |
| 1578783718 | Sarah L. Rosenzweig | Social Worker | 28555 Orchard Lake Rd, Suite 106, Farmington Hills, MI 48334-2973 | 2007-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043855018 | Esti Pop | Custodial Care Facility | 23600 Middlebelt Rd, Farmington Hills, MI 48336-2911 | 2019-11-13 |
| 1104203298 | D & P Specialized Living, Inc. | Custodial Care Facility | 22223 N Brandon St, Farmington Hills, MI 48336-3829 | 2015-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201267 | Living Waters Buell Lake | Custodial Care Facility | 13515 N Genesee Rd, Clio, MI 48420-9190 | 2020-09-29 |
| 1063028694 | Zcare | Custodial Care Facility | 8676 Auburn St, Detroit, MI 48228-2919 | 2020-09-18 |
| 1306452917 | Caring Hearts Afc | Custodial Care Facility | 1029 Westmoreland Ave, Kalamazoo, MI 49006-5567 | 2020-09-18 |
| 1790397594 | St. Ruth's House of Hope LLC | Custodial Care Facility | 3100 S Electric St, Detroit, MI 48217-1133 | 2020-08-21 |
| 1497364442 | Bolton Brook Manor | Custodial Care Facility | 4554 Thomas Rd, Metamora, MI 48455-9220 | 2020-07-27 |
| 1578171104 | Dream Housing Opportunities LLC | Custodial Care Facility | 304 Wetmore St, Howell, MI 48843-1559 | 2020-07-20 |
| 1194343046 | Creekside Place, Inc. | Custodial Care Facility | 7251 N Briarcliff Knoll Dr, West Bloomfield, MI 48322-4049 | 2020-07-08 |
| 1174140420 | Linda Perrault | Custodial Care Facility | 1551 S Hickory Ridge Rd, Milford, MI 48380-1519 | 2020-07-02 |
| 1063039923 | Visel Afc, Inc. | Custodial Care Facility | 6565 Whitneyville Ave Se, Alto, MI 49302-9027 | 2020-06-26 |
| 1982226775 | August Winter House, Inc. | Custodial Care Facility | 2111 N Latson Rd, Howell, MI 48855-9750 | 2020-05-14 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
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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.