CMS-1500 Box 24J / 33a • NPI
1568973154
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
376G00000X
Licensed & Credentialed Nursing Home Administrator
Box 32 Service Location & ZIP+4
10699 CRABAPPLE LN, RIVES JUNCTION, MI, 49277-9746
✓ 9-Digit EDI 837 ZIP+4 (49277-9746)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1568973154 (SUPERIOR LIVING HOMES, LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1568973154 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | SUPERIOR LIVING HOMES, LLC |
| Plain-English Specialty | Licensed & Credentialed Nursing Home Administrator NUCC Code: 376G00000X (Nursing Home Administrator) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 10699 CRABAPPLE LN, RIVES JUNCTION, MI, 49277-9746 |
| Practice Telephone / Fax | Tel: (517) 489-6995 |
| Administrative Mailing Address | 10699 CRABAPPLE LN, RIVES JUNCTION, MI, 49277-9746 |
| Enumeration & Last Sync | Enumerated: 2017-10-23 | CMS Record Updated: 2017-10-23 |
| Authorized Official | CAITLIN BERLIN (Administrator/Owner) |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (376G00000X)
What Does Taxonomy Code 376G00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 376G00000X translates to:
"Licensed & Credentialed Nursing Home Administrator"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (SUPERIOR LIVING HOMES, LLC)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
174200000X — MealsPlain English: Licensed & Credentialed Meals | State: N/A | License: Verified | Primary: Secondary |
177F00000X — LodgingPlain English: Licensed & Credentialed Lodging | State: N/A | License: Verified | Primary: Secondary |
251C00000X — Day Training, Developmentally Disabled ServicesPlain English: Licensed & Credentialed Day Training, Developmentally Disabled Services | State: N/A | License: Verified | Primary: Secondary |
251E00000X — Home HealthPlain English: CMS-Certified Home Health Care & Skilled Nursing Agency | State: N/A | License: Verified | Primary: Secondary |
253Z00000X — In Home Supportive CarePlain English: Licensed & Credentialed In Home Supportive Care | State: N/A | License: Verified | Primary: Secondary |
376G00000X — Nursing Home AdministratorPlain English: Licensed & Credentialed Nursing Home Administrator | State: MI | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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