Lifespan...a Community Service

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

LIFESPAN...A COMMUNITY SERVICE

Practice address

524 Lansing Ave
Jackson, MI 49201-2804

Phone

(517) 817-0096

Fax

(517) 789-7883

NPI assigned

Oct 19, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Freysinger

Title

Ceo

Phone

(517) 784-4426

Specialties & licenses 1

Addresses

Other names 1

• Joey's Junction Other name

Tax ID family

Joey's Junction2 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.

• Pdhcrc, Inc.

  dba Potential Development Homes, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Jackson, MI
  • NPI 1164569802
  NPD tax ID

Locations

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255910400000",
    "number": "1093041576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 LANSING AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012804",
            "telephone_number": "517-817-0096",
            "fax_number": "517-789-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 LANSING AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012804",
            "telephone_number": "517-817-0096",
            "fax_number": "517-789-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN...A COMMUNITY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A",
        "authorized_official_last_name": "FREYSINGER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "517-784-4426",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joey's Junction",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Lewis
• Vicki Lewis, LMSW
• Whitney Lewis, LLBSW
• Robin Licht
• Jessica Marie Lietz
• Lifespring Counseling Services
• Lifetime Dental Care PLLC
• Chad Lige, BS, CPT, CTTS
• David Ligeski, M.S.W.
• Jamie E Lightner

• Respite Care in Jackson, MI
• Providers in Jackson, MI by specialty
• Respite Care in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.