Organization Active NPI

Life Links Community Intervention Agency

  • Community/Behavioral Health Agency
  • Snow Hill, NC
National Provider Identifier
1053563650
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFE LINKS COMMUNITY INTERVENTION AGENCY
Practice address
101 W Greene St
Snow Hill, NC 28580-1431
Phone
(252) 747-7801
Fax
(252) 747-7802
NPI assigned
Oct 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Mrs. Judy Fox DardenNPI 1962704643
Title
Ceo
Phone
(252) 747-7801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NC Primary

Addresses

Primary practice location

101 W Greene St
Snow Hill, NC 28580-1431

Mailing address

101 W Greene St
Snow Hill, NC 28580-1431
Phone (252) 747-7801

National Provider Directory

National Provider Directory

Locations

101 W Greene St
Snow Hill, NC 28580
Phone (252) 747-2976

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1053563650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W GREENE ST",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801431",
            "telephone_number": "252-747-7801",
            "fax_number": "252-747-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W GREENE ST",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801431",
            "telephone_number": "252-747-7801",
            "fax_number": "252-747-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE LINKS COMMUNITY INTERVENTION AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "DARDEN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "FOX",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-747-7801",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snow Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.