Life at Lourdes Inc

Primary specialty

PACE Provider OrganizationTaxonomy code 251T00000X

Legal business name

LIFE AT LOURDES INC

Practice address

2475 McClellan Avenue
Pennsauken, NJ 08109

Phone

(856) 675-3660

Fax

(856) 675-3659

NPI assigned

Sep 25, 2008

Organization subpart

Yes

Parent organization

OUR LADY OF LOURDES HEALTH CARE SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Ms. Jacqueline Lawson, RHIT, MLS

Title

Electronic Medical Records Liason

Phone

(856) 675-3660

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

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

• Patricia Brown-Lyons, RN

  • Registered Nurse
  • Pennsauken, NJ
  • NPI 1770830457
  NPD (past)
• Deborah Hart

  • Physical Therapist
  • Pennsauken, NJ
  • NPI 1255687695
  NPD (past)
• Christine Kelly, APN-C

  • Gerontology Nurse Practitioner
  • Pennsauken, NJ
  • NPI 1295272821
  NPD (past)
• Jeri Middlebrook, MSW, CSW

  • Social Worker
  • Pennsauken, NJ
  • NPI 1871849315
  NPD (past)
• Candice Ogline, RN, APN,C

  • Adult Health Nurse Practitioner
  • Pennsauken, NJ
  • NPI 1295792331
  NPD (past)
• Patricia Ann Smith, R.N.WCC

  • Wound Care Registered Nurse
  • Pennsauken, NJ
  • NPI 1487901161
  NPD (past)

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1063662187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 MCCLELLAN AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094683",
            "telephone_number": "856-675-3660",
            "fax_number": "856-675-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 MCCLELLAN AVENUE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "08109",
            "telephone_number": "856-675-3660",
            "fax_number": "856-675-3659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE AT LOURDES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OUR LADY OF LOURDES HEALTH CARE SERVICES, INC.",
        "enumeration_date": "2008-09-25",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "ELECTRONIC MEDICAL RECORDS LIASON",
        "authorized_official_telephone_number": "856-675-3660",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RHIT, MLS"
    },
    "taxonomies": [
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Lee, LSW
• Richard Thomas Leiby, D.D.S.
• Aaron Lewis, RN
• Lickfield Medical Associates
• Neil K Liebman, DC,C.C.S.T.
• Patrick Bosun Lin, DDS
• Elizabeth M Linette, CSN, MSN, RN
• Dana Marie Liston, M.S. CCC-SLP
• Clarice Little
• Genesis Littlejohn

• PACE Provider Organization in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• PACE Provider Organization in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.