Active NPI
Novus Living LLC
Doing business as Novus Living
- Assisted Living Facility
- Westland, MI
National Provider Identifier
1720696107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- NOVUS LIVING LLC
- Doing business as
- Novus Living
Novus Living II - Practice address
- 2121 S Newburgh Rd
Westland, MI 48186-3973 - Phone
- (734) 331-6390
- NPI assigned
- Jul 21, 2020
- Last updated
- Jun 5, 2024
- 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
- Elissa Jabboury
- Title
- Owner
- Phone
- (248) 789-0999
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Assisted Living Facility | 310400000X | Primary | ||
| Assisted Living Facility (Mental Illness) | 3104A0625X | |||
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | |||
| Mental Illness Intermediate Care Facility | 310500000X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Physical Disabilities Residential Treatment Facility | 320700000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X |
Addresses
Primary practice location
2121 S Newburgh Rd
Westland, MI 48186-3973
Mailing address
5555 Apple Ridge TRL
West Bloomfield, MI 48322-1776
Phone (248) 789-0999
Other names 2
- Novus Living
- Novus Living II
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717545600000",
"number": "1720696107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 APPLE RIDGE TRL",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483221776",
"telephone_number": "248-789-0999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 S NEWBURGH RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481863973",
"telephone_number": "734-331-6390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOVUS LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-21",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A",
"authorized_official_last_name": "JABBOURY",
"authorized_official_first_name": "ELISSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-789-0999"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": null,
"license": null,
"primary": false
},
{
"code": "310500000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Novus Living",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Novus Living II",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.