Life Enhancement Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFE ENHANCEMENT SERVICES, LLC

Practice address

1818 New York Ave NE Ste 115
Washington, DC 20002-1851

Phone

(202) 269-2401

Fax

(202) 269-2402

NPI assigned

Mar 30, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Herbert Gray

Title

Manager

Phone

(704) 560-4332

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1093100950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13016 EASTFIELD RD STE 200-269",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786622",
            "telephone_number": "704-560-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 NEW YORK AVE NE STE 115",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200021851",
            "telephone_number": "202-269-2401",
            "fax_number": "202-269-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ENHANCEMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-560-4332",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050018500",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life Changing Solutions, LLC
• Life Enhancement Services
• Life Enhancement Services Mo LLC
• Life Enhancement Services of DC, LLC
• Life Enhancement Services of VA, LLC
• Life Enhancement Services, LLC
• Life Enhancement Services, LLC
• Life Foundation
• Life in Motion Foundation
• Life Point Healthcare Services of DC LLC

• Community/Behavioral Health Agency in Washington, DC
• Providers in Washington, DC by specialty
• Community/Behavioral Health Agency in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.