Organization Active NPI

Real Life Living Services, Inc

  • Home Health Agency
  • Grand Rapids, MI
National Provider Identifier
1528260700
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Sep 11, 2024

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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address info@rlls.org

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.