Organization Active NPI

Living Well Home Services LLC

  • Clinical Social Worker
  • Oak Park, MI
National Provider Identifier
1225450760
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIVING WELL HOME SERVICES LLC
Practice address
25900 Greenfield Rd Ste 503
Oak Park, MI 48237-1893
Phone
(313) 402-4570
Fax
(313) 731-0389
NPI assigned
Jan 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Ms. Alexis Deanna McDonald, LLMSWNPI 1316373798
Title
Owner
Phone
(313) 402-4570

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

25900 Greenfield Rd Ste 503
Oak Park, MI 48237-1893

Mailing address

16500 Joy Rd Unit 28138
Detroit, MI 48228-0604
Phone (313) 402-4570

Other practice location 1

G3500 Flushing Rd # 112
Flint, MI 48504-4235
Phone (313) 402-4570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150130000437 MI Part B Supplier - Clinic/Group Practice 5092039628 Receives reassigned benefits from 1 practitioner
Practice locations: Flint, MI; Oak Park, MI

National Provider Directory

National Provider Directory

Locations

16500 Joy Rd
Unit 28138
Detroit, MI 48228
Phone (313) 402-4570

G3500 Flushing Rd
#112
Flint, MI 48504
Phone (313) 402-4570

2503 S Linden Rd
Ste 254
Flint, MI 48532
Phone (313) 410-6326

25900 Greenfield Rd
Ste 257
Oak Park, MI 48237
Phone (313) 402-4570

25900 Greenfield Rd
Ste 503
Oak Park, MI 48237
Phone (313) 402-4570

Practitioners & affiliated clinicians

Practitioners 2

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": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1225450760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16500 JOY RD UNIT 28138",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482280604",
            "telephone_number": "313-402-4570",
            "fax_number": "313-731-0389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25900 GREENFIELD RD STE 503",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482371893",
            "telephone_number": "313-402-4570",
            "fax_number": "313-731-0389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "G3500 Flushing Rd # 112",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485044235",
            "country_code": "US",
            "telephone_number": "313-402-4570",
            "fax_number": "313-731-0389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVING WELL HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "DEANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-402-4570",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LLMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.