Organization Active NPI

Life Bridge Health Services LLC

  • Adult Care Home Facility
  • Southfield, MI
National Provider Identifier
1861088155
Registry record updated Mar 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
LIFE BRIDGE HEALTH SERVICES LLC
Practice address
24001 Southfield Rd Ste 103
Southfield, MI 48075-2800
Phone
(586) 991-1602
Fax
(734) 212-5084
NPI assigned
Dec 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2026

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

Authorized official

Name
Mrs. Danielle Nicole McDaniel, JD
Title
Owner
Phone
(248) 971-9005

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X
In Home Supportive Care Agency 253Z00000X
Adult Day Care Clinic/Center 261QA0600X
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

24001 Southfield Rd Ste 103
Southfield, MI 48075-2800

Mailing address

PO Box 867
Southfield, MI 48037-0867
Phone (248) 971-9005

National Provider Directory

National Provider Directory

Locations

24001 Southfield Rd
Ste 103
Southfield, MI 48075
Phone (248) 733-5802

NPI Registry JSON

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774051200000",
    "number": "1861088155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480370867",
            "telephone_number": "248-971-9005",
            "fax_number": "734-212-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24001 SOUTHFIELD RD STE 103",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752800",
            "telephone_number": "586-991-1602",
            "fax_number": "734-212-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE BRIDGE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2026-03-21",
        "certification_date": "2026-03-21",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-971-9005",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2026; 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.