Active NPI
Lifeskills Reintegration, LLC
- Rehabilitation Practitioner
- Ann Arbor, MI
National Provider Identifier
1093089914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Legal business name
- LIFESKILLS REINTEGRATION, LLC
- Practice address
- 2880 Renfrew St
Ann Arbor, MI 48105-1454 - Phone
- (734) 649-6749
- NPI assigned
- Feb 24, 2012
- Last updated
- Feb 24, 2012
- 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
- Kelly M Smith, C.B.I.S., EXP., B.S.
- Title
- President
- Phone
- (734) 878-2919
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | NU | Primary |
Addresses
Primary practice location
2880 Renfrew St
Ann Arbor, MI 48105-1454
Mailing address
11415 Lauderdale CT
Pinckney, MI 48169-9535
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Rehabilitation Practitioner
- Ann Arbor, MI
- NPI 1780958769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330041600000",
"number": "1093089914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11415 LAUDERDALE CT",
"city": "PINCKNEY",
"state": "MI",
"postal_code": "481699535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 RENFREW ST",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481051454",
"telephone_number": "734-649-6749"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESKILLS REINTEGRATION, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-24",
"last_updated": "2012-02-24",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "734-878-2919",
"authorized_official_credential": "C.B.I.S., EXP., B.S."
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ann Arbor, MI
- Life Aide LLC
- Life Is Current Counseling LLC
- Life Skills Community Rehabilitation & Associates LLC (Galaxy Brain and Therapy Center)
- Life Skills Community Rehabilitation & Associates LLC (Galaxy Brain & Therapy Center)
- Life's Journey Family Chiropractic, PLLC
- Lifestyles Supportive Living Services, LLC
- Lighted Way Counseling, PLLC
- Lightness Guidance PLLC
- Daniel N Like
- Alisa Likhitsup, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.