NPIMap

Organization Active NPI

Life Steps, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1043628522
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
LIFE STEPS, LLC
Practice address
901 N Congress Ave
Suite B102
Boynton Beach, FL 33426-3316
Phone
(888) 357-8377
NPI assigned
Jul 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Mr. Adam M Fuller
Title
Ceo
Phone
(954) 232-7290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

901 N Congress Ave
Suite B102
Boynton Beach, FL 33426-3316

Mailing address

PO Box 4682
Boynton Beach, FL 33424-4682
Phone (954) 232-7290

National Provider Directory

National Provider Directory
Tax ID family
Life Steps LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1043628522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4682",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334244682",
            "telephone_number": "954-232-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N CONGRESS AVE",
            "address_2": "SUITE B102",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334263316",
            "telephone_number": "888-357-8377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STEPS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-232-7290",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.