Organization Active NPI

Lively Residential Paradise

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1154249902
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIVELY RESIDENTIAL PARADISE
Practice address
16558 Mansfield St
Detroit, MI 48235-3631
Phone
(313) 229-6215
Fax
(404) 900-3987
NPI assigned
Jul 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Santanna Lively
Title
Owner
Phone
(313) 340-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

16558 Mansfield St
Detroit, MI 48235-3631

Mailing address

16558 Mansfield St
Detroit, MI 48235-3631
Phone (313) 229-6215

National Provider Directory

National Provider Directory
Tax ID family
Lively Facilitated Living2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1154249902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16558 MANSFIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353631",
            "telephone_number": "313-229-6215",
            "fax_number": "404-900-3987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16558 MANSFIELD ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482353631",
            "telephone_number": "313-229-6215",
            "fax_number": "404-900-3987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVELY RESIDENTIAL PARADISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "LIVELY",
        "authorized_official_first_name": "SANTANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-340-2225"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 8, 2026; 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.