CONNER CREEK LIFE SOLUTIONS LLC – NPI #1164917639
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

CONNER CREEK LIFE SOLUTIONS LLC is a substance abuse rehabilitation facility located in DETROIT, MI. NPPES has assigned the NPI number 1164917639 to CONNER CREEK LIFE SOLUTIONS LLC on June 27, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 4 years ago on Feb 25, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CONNER CREEK LIFE SOLUTIONS LLC below.

NPI Profile for
CONNER CREEK LIFE SOLUTIONS LLC

NPI Number
1164917639
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CONNER CREEK LIFE SOLUTIONS LLC
Primary location
4777 E OUTER DR
DETROIT, MI 48234-3241
Phone: (313) 369-5800 Fax: (313) 859-2000
Mailing address
4777 EAST OUTER DRIVE
DETROIT, MI 48234
Phone: (313) 369-5800 Fax: (313) 859-2000
Organization Subpart
No
Authorized Official
ANDREW MCLEMORE
CEO
Phone: (313) 369-5800
Updated
Certification Date
Feb 25, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)		 MI SA0823265

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.