Organization Active NPI

Living N My Space

  • Substance Abuse Rehabilitation Facility
  • Detroit, MI
National Provider Identifier
1033951819
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
LIVING N MY SPACE
Practice address
19004 Oak Dr
Detroit, MI 48221-2264
Phone
(866) 778-3268
NPI assigned
Jun 11, 2024
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Perry L Taylor, MBA, MSW
Title
Administrator
Phone
(313) 926-3524

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Lodging Provider 177F00000X NU
Case Management Agency 251B00000X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary
Meals Provider 174200000X NU

Addresses

Primary practice location

19004 Oak Dr
Detroit, MI 48221-2264

Mailing address

535 Griswold St Ste 541
Detroit, MI 48226-3672
Phone (313) 926-3524

National Provider Directory

National Provider Directory

Locations

535 Griswold St
Ste 541
Detroit, MI 48226

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1033951819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 GRISWOLD ST STE 541",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263672",
            "telephone_number": "313-926-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19004 OAK DR",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482212264",
            "telephone_number": "866-778-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING N MY SPACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "313-926-3524",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA, MSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.