Lifestyle Independent Living , LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFESTYLE INDEPENDENT LIVING , LLC

Doing business as

Lifestyle Independent Living

Practice address

5640 W Maple Rd Ste 203
West Bloomfield, MI 48322-3718

Phone

(947) 517-0088

NPI assigned

Oct 1, 2024

Last updated

Nov 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Esther Larayne Ross III

Title

Owner

Phone

(947) 517-0088

Specialties & licenses 1

Addresses

Other names 3

• Lifestyle Independent Living Doing business as
• Andrea Rogers Other name
• Esther Ross Other name

Locations

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1568280154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 W MAPLE RD STE 203",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223718",
            "telephone_number": "947-517-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5640 W MAPLE RD STE 203",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223718",
            "telephone_number": "947-517-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESTYLE INDEPENDENT LIVING , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "LARAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "947-517-0088",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifestyle Independent Living",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Andrea Rogers",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Esther Ross",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Esther Ross",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melissa Lewin, LMSW
• Charissee Jena Lewis, DOCTORATE OF DIVINIT
• Tierra Chantell Lewis
• Peter Alfred Lewitt, M.D.
• Rebecca J Liening, PTA
• Rachel Ellyn Light
• Linda Adel Friedman LMSW LLC
• Linda M Waldman MD PC
• Sheila Joan Lindamood, NURSE PRACTITIONER
• Kaitlin Lindberg, CRNA

• Community/Behavioral Health Agency in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.