Life Enhancement Health Care Institute

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LIFE ENHANCEMENT HEALTH CARE INSTITUTE

Practice address

124 W 69TH St
Chicago, IL 60621-3746

Phone

(312) 538-9702

NPI assigned

Dec 3, 2020

Organization subpart

No

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

Authorized official

Name

Nyisha D Beemon, RNNPI 1033778865

Title

Lab Director

Phone

(312) 538-9702

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nyisha Beemon, RN

  • Registered Nurse
  • Chicago, IL
  • NPI 1033778865
  NPD Authorized official

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1053916486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 W 69TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213746",
            "telephone_number": "312-538-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 W 69TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213746",
            "telephone_number": "312-538-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENHANCEMENT HEALTH CARE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "BEEMON",
        "authorized_official_first_name": "NYISHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "312-538-9702",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Aligned Counseling and Consulting
• Life Care Labs Inc
• Life Changers LLC
• Life Changers LLC
• Life Changing Strategies, Inc
• Life Enhancement Services of Il, LLC
• Life Forward Therapy
• Life Fulfillment Consultants, LLC
• Life Gate Pharmacy LLC
• Life in Color Counseling LLC

• Clinical Medical Laboratory in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.