D-Life Fitness, LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

D-LIFE FITNESS, LLC

Practice address

711 Vandiver Dr Ste J&K
Columbia, MO 65202-1593

Phone

(573) 289-7334

NPI assigned

Nov 12, 2013

Last updated

Nov 12, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

D-LIFE FITNESS, LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shamar Elaine Rich-Hall

Title

Registered Agent / Bookkeeper

Phone

(754) 214-1177

Specialties & licenses 1

Addresses

Part of

D-Life Fitness LLC

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384214400000",
    "number": "1013347046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 VANDIVER DR STE J&K",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652021593",
            "telephone_number": "573-289-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 VANDIVER DR STE J&K",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652021593",
            "telephone_number": "573-289-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D-LIFE FITNESS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "D-LIFE FITNESS, LLC",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-12",
        "status": "A",
        "authorized_official_last_name": "RICH-HALL",
        "authorized_official_first_name": "SHAMAR",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "REGISTERED AGENT / BOOKKEEPER",
        "authorized_official_telephone_number": "754-214-1177"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keven Odell Cutler, MD
• Cynergy Health, LLC
• Casey Cyr, MSW, LCSW
• Tillmann Cyrus, MD
• Robert Czarnecki
• Owen Mitchel D'Amour
• Sharlene Lillian D'Souza, M.D.
• D&H Prescription Drug Company Inc (D & H Drugstore)
• D&H Prescription Drug Company Inc (D&H Drug Store)
• D&H Prescription Drug Company Inc (D & H Drugstore)

• Health Maintenance Organization in Columbia, MO
• Providers in Columbia, MO by specialty
• Health Maintenance Organization in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.