Successfully Living Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

AS820313236 Issued in MI

Legal business name

SUCCESSFULLY LIVING INC

Practice address

14341 Merriman Rd
Livonia, MI 48154-4264

Phone

(734) 846-1519

Fax

(734) 744-4482

NPI assigned

Jul 15, 2015

Organization subpart

No

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

Authorized official

Name

Earsha Riggin

Title

Operator

Phone

(734) 846-1519

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1104200526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14341 MERRIMAN",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48154",
            "telephone_number": "734-846-1519",
            "fax_number": "734-744-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14341 MERRIMAN RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481544264",
            "telephone_number": "734-846-1519",
            "fax_number": "734-744-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESSFULLY LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "RIGGIN",
        "authorized_official_first_name": "EARSHA",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "734-846-1519"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS820313236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kurt Stutz, M.DIV, M.S.W.
• McKenzie Suarez-Stankiewicz, MD
• Subburaman Sivakumar MD PC
• Suburban Optometrics Assoc P C
• Successful Living Afc
• Christine Suh
• Suhasini S Mistry MD PLC
• Jeffrey Albert Suhre
• Alyssa Suiter
• Dhara Sukhadia

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Livonia, MI
• Providers in Livonia, MI by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.