LIFE SKILLS RESIDENTIAL, LLC
NPI 1689005399
Custodial Care Facility - Adult Care Home in Farmington Hills, MI
About Life Skills Residential, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFE SKILLS RESIDENTIAL, LLC (NPI 1689005399) is a healthcare organization registered as an adult care home in Farmington Hills, Michigan and active in the NPI registry since December 2013. The organization holds a CLIA Waiver certificate valid through February 4, 2027 and lists Nate Gardin, Chief Operating Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D2161530
Life Skills Residential LLC · Oak Park, MIOther Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FARMINGTON HILLS, MI 48334
FARMINGTON HILLS, MI 48334
FARMINGTON HILLS, MI 48334
FARMINGTON HILLS, MI 48334
FARMINGTON HILLS, MI 48334
FARMINGTON HILLS, MI 48334
FARMINGTON HILLS, MI 48334
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 Life Skills Residential, LLC's NPI number?
The NPI number for Life Skills Residential, LLC is 1689005399. It was assigned to this organization in the NPPES registry on December 5, 2013.
Where is Life Skills Residential, LLC located?
Life Skills Residential, LLC is located at 28555 Orchard Lake Rd Suite 106, Farmington Hills, MI 48334. The listed phone number is (248) 536-5080.
What is Life Skills Residential, LLC's specialty?
The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.
Does Life Skills Residential, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2161530) is associated with this NPI, valid through February 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Life Skills Residential, LLC was last updated on December 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Life Skills Residential, Llc · NPI 1689005399
Adult Care Home organization in Farmington Hills, Michigan. Organization record, active in the CMS NPPES registry since December 5, 2013.
## Identity
- **NPI:** 1689005399 (Entity type: Organization)
- **Enumerated:** December 5, 2013
- **Primary specialty:** Custodial Care Facility - Adult Care Home · taxonomy 311ZA0620X
- **Organization subpart:** No
- **Authorized official:** Nate Gardin, CHIEF OPERATING OFFICER
## Practice location
- **Address:** 28555 ORCHARD LAKE RD, SUITE 106, Farmington Hills, MI 48334-2973
- **Phone:** (248) 536-5080
## Record status
- **NPPES last updated:** December 5, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1689005399) · Data from the CMS NPPES public registry.