Living Alternatives Fo

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

LIVING ALTERNATIVES FO

Practice address

300 Whitney St
Dowagiac, MI 49047-1672

Phone

(269) 782-0654

Fax

(269) 782-3828

NPI assigned

Sep 14, 2017

Organization subpart

No

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

Authorized official

Name

Gloria S Mitzelfeld, MBA

Title

Ceo

Phone

(810) 750-4596

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760901318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WHITNEY ST",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490471672",
            "telephone_number": "269-782-0654",
            "fax_number": "269-782-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WHITNEY ST",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490471672",
            "telephone_number": "269-782-0654",
            "fax_number": "269-782-3828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING ALTERNATIVES FO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MITZELFELD",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "810-750-4596",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598000549",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty Rae Ledesma, NP-C
• Lee Memorial Hospital
• Lee Memorial Hospital Corporation
• Lee Memorial Hospital Corporation
• Lee Memorial Hospital Corporation
• Living Alternatives for the Developmentally Disabled, Inc.
• Living Alternatives for the Developmentally Disabled, Inc.
• Trevor Loftus, PHARM.D.
• Jessica Longenecker, M.S.
• Jean Richard Macajoux

• Developmentally Disabled Services Day Training Agency in Dowagiac, MI
• Providers in Dowagiac, MI by specialty
• Developmentally Disabled Services Day Training Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.