Active NPI
Living N My Space
- Substance Abuse Rehabilitation Facility
- Detroit, MI
National Provider Identifier
1033951819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.