Organization Active NPI

Sullivan Lifestyle Solutions LLC

  • Home Health Agency
  • Southfield, MI
National Provider Identifier
1033988407
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SULLIVAN LIFESTYLE SOLUTIONS LLC
Practice address
24123 Greenfield Rd Ste 306
Southfield, MI 48075-3124
Phone
(248) 275-3870
Fax
(248) 918-4337
NPI assigned
Dec 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Talia Simone Azir, MSWNPI 1932970019
Title
Managing Manager
Phone
(248) 275-3870

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

24123 Greenfield Rd Ste 306
Southfield, MI 48075-3124

Mailing address

28401 Mound Rd Unit 1664
Warren, MI 48090-7259
Phone (248) 275-3870

National Provider Directory

National Provider Directory

Locations

28401 Mound Rd
Unit 1664
Warren, MI 48090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1033988407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28401 MOUND RD UNIT 1664",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480907259",
            "telephone_number": "248-275-3870",
            "fax_number": "248-918-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24123 GREENFIELD RD STE 306",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480753124",
            "telephone_number": "248-275-3870",
            "fax_number": "248-918-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN LIFESTYLE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "AZIR",
        "authorized_official_first_name": "TALIA",
        "authorized_official_middle_name": "SIMONE",
        "authorized_official_title_or_position": "MANAGING MANAGER",
        "authorized_official_telephone_number": "248-275-3870",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.