Active NPI
Real Life Living Services, Inc
- Home Health Agency
- Grand Rapids, MI
National Provider Identifier
1528260700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- REAL LIFE LIVING SERVICES, INC
- Practice address
- 2922 Fuller Ave NE Ste 213
Grand Rapids, MI 49505-3459 - Phone
- (231) 887-4080
- Fax
- (231) 887-4422
- NPI assigned
- Jun 1, 2007
- 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
- Benjamin Woodside
- Title
- Executive Director
- Phone
- (734) 476-9834
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
2922 Fuller Ave NE Ste 213
Grand Rapids, MI 49505-3459
Mailing address
PO Box 3915
Ann Arbor, MI 48106-3915
Phone (734) 476-9834
Other practice location 1
140 W River St Ste 5
Cadillac, MI 49601-1862
Phone (231) 887-4080
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@rlls.org |
National Provider Directory
National Provider DirectoryLocations
1100 N Main St
Ste 101
Ann Arbor, MI 48104
140 W River St
Ste 5
Cadillac, MI 49601
Phone (231) 887-4080
2920 Fuller Ave NE
Ste 103
Grand Rapids, MI 49505
2922 Fuller Ave NE
Ste 213
Grand Rapids, MI 49505
Phone (231) 887-4080
50 Filer St
Ste 316
Manistee, MI 49660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726012800000",
"number": "1528260700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3915",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481063915",
"telephone_number": "734-476-9834",
"fax_number": "231-887-4422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2922 FULLER AVE NE STE 213",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495053459",
"telephone_number": "231-887-4080",
"fax_number": "231-887-4422"
}
],
"practiceLocations": [
{
"address_1": "140 W River St Ste 5",
"address_purpose": "LOCATION",
"city": "Cadillac",
"state": "MI",
"postal_code": "496011862",
"country_code": "US",
"telephone_number": "231-887-4080",
"fax_number": "231-887-4422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REAL LIFE LIVING SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-01",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A",
"authorized_official_last_name": "WOODSIDE",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "734-476-9834"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@rlls.org",
"affiliation": "N",
"address_1": "2922 Fuller Ave NE Ste 213",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495053459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.