NPIMap

Organization Active NPI

Lifecare Family Services

  • Case Management Agency
  • Columbia, TN
National Provider Identifier
1023262862
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LIFECARE FAMILY SERVICES
Practice address
109 Blythewood
Columbia, TN 38401-4829
Phone
(615) 781-0013
Fax
(615) 627-1441
NPI assigned
Nov 6, 2008
Last updated
Nov 6, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
LIFECARE FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Landon Kent Mauck, BBA
Title
HR Coordinator
Phone
(615) 781-0013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

109 Blythewood
Columbia, TN 38401-4829

Mailing address

109 Blythewood
Columbia, TN 38401-4829
Phone (615) 781-0013

Other identifiers 1

IdentifierTypeStateIssuer
3376955OtherTNGROUP MEDICARE

National Provider Directory

National Provider Directory
Tax ID family
Omni Community Health8 organizations share this tax ID, including this one
Part of
Omni Community Health

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

109 Blythewood Dr
Columbia, TN 38401
Phone (931) 381-1920

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1023262862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 BLYTHEWOOD",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014829",
            "telephone_number": "615-781-0013",
            "fax_number": "615-627-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BLYTHEWOOD",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014829",
            "telephone_number": "615-781-0013",
            "fax_number": "615-627-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFECARE FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIFECARE FAMILY SERVICES",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "MAUCK",
        "authorized_official_first_name": "LANDON",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "HR COORDINATOR",
        "authorized_official_telephone_number": "615-781-0013",
        "authorized_official_credential": "BBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE",
            "identifier": "3376955",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.