STATELY LIVING, LLC
NPI 1215462064
Custodial Care Facility - Adult Care Home in Saint Joseph, MI

Q: What is Stately Living, LLC's NPI number?

The NPI number for Stately Living, LLC is 1215462064. It was assigned to this organization in the NPPES registry on April 28, 2017.

Q: What is Stately Living, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since April 28, 2017

2824 S STATE ST, SAINT JOSEPH, MI 49085(269) 757-1504 Get Directions Write a Review

NPPES record last updated: April 28, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Stately Living, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATELY LIVING, LLC (NPI 1215462064) is a healthcare organization registered as an adult care home in Saint Joseph, Michigan and active in the NPI registry since April 2017. The organization lists Lori Costanza, Owner, Registered Nurse, as its authorized official.

NPPES Registry Identity

NPI1215462064

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameSTATELY LIVING, LLC

Location Address2824 S STATE STSaint Joseph, MI 49085-2478

Mailing Address2824 S State StSaint Joseph, MI 49085-2478 · (269) 757-1504

Phone(269) 757-1504

Organization SubpartNo

Authorized OfficialLori CostanzaOwner, Registered Nurse · (269) 757-1504

Enumeration DateApril 28, 2017

✔ NPI 1215462064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in MI · AS110382705

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

2824 S STATE ST, Saint Joseph, MI 49085

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS JOSEPH JENNINGS MD

Ophthalmology

2824 S STATE ST
SAINT JOSEPH, MI 49085

Berrien County (269) 982-4020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stately Living, LLC's NPI number?

The NPI number for Stately Living, LLC is 1215462064. It was assigned to this organization in the NPPES registry on April 28, 2017.

Where is Stately Living, LLC located?

Stately Living, LLC is located at 2824 S State St, Saint Joseph, MI 49085. The listed phone number is (269) 757-1504.

What is Stately Living, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Stately Living, LLC was last updated on April 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.