Living Splendidly Afc Home

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

LIVING SPLENDIDLY AFC HOME

Practice address

1453 Virginia Park St
Detroit, MI 48206-2417

Phone

(313) 980-4777

NPI assigned

Nov 25, 2024

Organization subpart

No

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

Authorized official

Name

Lauryn Alexus McKenney, LAURYN MCKENNEYNPI 1679399604

Title

Co-Owner

Phone

(313) 980-4777

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lauryn Alexus McKenney

  • Licensed Practical Nurse
  • Detroit, MI
  • NPI 1679399604
  NPD Authorized official

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1376369397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 VIRGINIA PARK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 VIRGINIA PARK ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482062417",
            "telephone_number": "313-980-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING SPLENDIDLY AFC HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-24",
        "status": "A",
        "authorized_official_last_name": "MCKENNEY",
        "authorized_official_first_name": "LAURYN",
        "authorized_official_middle_name": "ALEXUS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "313-980-4777",
        "authorized_official_credential": "LAURYN MCKENNEY"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne Ann Livernois, AU.D.
• Livi Love LLC
• Living Life Adult Program LLC
• Living Life Counseling Services, LLC
• Living N My Space
• Living4Life Wellnessllc
• Bonnie Livingston
• Brenda Brooks Livingston, LPN
• Jennifer Lynn Livingston, CPNP-AC
• Gala Rochelle Livous

• Mental Illness Community Based Residential Treatment Facility in Detroit, MI
• Providers in Detroit, MI by specialty
• Mental Illness Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.