Lifequest Support Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

LIFEQUEST SUPPORT SERVICES LLC

Practice address

99 Royal Vista Dr Unit 408
Branson, MO 65616-6237

Phone

(417) 274-9471

NPI assigned

Sep 6, 2016

Last updated

Sep 6, 2016By 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

Jeffrey SmithNPI 1992252100

Title

Co-Owner

Phone

(417) 274-9471

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Smith

  • Community/Behavioral Health Agency
  • Branson, MO
  • NPI 1992252100
  NPD (past) Authorized official

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1083161202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 ROYAL VISTA DR UNIT 408",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656166237",
            "telephone_number": "417-274-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 ROYAL VISTA DR UNIT 408",
            "city": "BRANSON",
            "state": "MO",
            "postal_code": "656166237",
            "telephone_number": "417-274-9471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEQUEST SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "417-274-9471"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lester E Cox Medical Centers (Cox Health Center Branson)
• Lester E. Cox Medical Centers
• Lester E. Cox Medical Centers (Coxhealth Center Branson)
• Jacob Dewayne Lewallen, DC
• Life Christian Outreach (Abiding Hope Home)
• Jeremy Glynn Light, MD
• Lincare Inc.
• Linkability, Inc.
• Donald M. Lippert, MD
• Jonathan David Liss

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Branson, MO
• Providers in Branson, MO by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.