A Lift for Life Outreach Center, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

A LIFT FOR LIFE OUTREACH CENTER, INC.

Practice address

5621 Parkdale Dr
Dallas, TX 75227-3207

Phone

(214) 367-0600

Fax

(214) 367-0602

NPI assigned

May 28, 2015

Last updated

May 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Clarence Giddens

Title

Executive Director

Phone

(214) 367-0600

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1033598685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5621 PARKDALE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752273207",
            "telephone_number": "214-367-0600",
            "fax_number": "214-367-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5621 PARKDALE DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752273207",
            "telephone_number": "214-367-0600",
            "fax_number": "214-367-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A LIFT FOR LIFE OUTREACH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "GIDDENS",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "214-367-0600"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.