NPIMap

Organization Active NPI

Life Center of America

  • Community/Behavioral Health Agency
  • Merced, CA
National Provider Identifier
1033356464
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
100079AN Issued in CA
Legal business name
LIFE CENTER OF AMERICA
Practice address
1057 N St
Merced, CA 95341-5962
Phone
(209) 384-9547
NPI assigned
Jan 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Mr. David Hartfield Jr., M.DIV
Title
Ceo
Phone
(559) 237-0072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 100079AN CA Primary

Addresses

Primary practice location

1057 N St
Merced, CA 95341-5962

Mailing address

1570 N Wishon Ave
Fresno, CA 93728-1831
Phone (559) 237-0072

National Provider Directory

National Provider Directory
Tax ID family
Life Center of America10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1057 N St
Merced, CA 95341
Phone (209) 384-9547

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1033356464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 N WISHON AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937281831",
            "telephone_number": "559-237-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 N ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953415962",
            "telephone_number": "209-384-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CENTER OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "HARTFIELD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-237-0072",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.DIV"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "100079AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.