Conner Creek Life Solutions Llc

LBN: Century Living Inc
Conner Creek Life Solutions Llc is an health care organization with primary practice located at 4777 E Outer Dr , Detroit MI 48234-3241. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health, Hospital Units / Rehabilitation, Substance Use Disorder Unit, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Century Living Inc can be contacted via phone (313) 369-5800, or through Mclemore, Andrew via phone (313) 369-5098.

Contact Information

Primary practice address
4777 E Outer Dr Detroit MI 48234-3241
Phone: (313) 369-5800
Fax: (313) 859-2000
Website:
Map and Directions
Authorized official contact:
Name: Mclemore, Andrew
Phone: (313) 369-5098

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801080744 Michigan
Agencies / Community/Behavioral Health 251S00000X
Hospital Units / Rehabilitation, Substance Use Disorder Unit 276400000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1659753085
LBN Legal business name Century Living Inc
DBA Doing business as Conner Creek Life Solutions Llc
Authorized official Mclemore, Andrew
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2015
Last updated Feb 25th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659753085 NPPES
Michigan MEDICAID 1659753085

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