Lifespring, Inc
Organization Active NPI Community/Behavioral Health Agency · English, IN
NPI 1104393206 · NPPES record last updated May 1, 2020
Key facts
- NPI
- 1104393206
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- LIFESPRING, INC
- Practice address
- 523 N Main St
English, IN 47118-3699 - Phone
- (812) 338-2756
- NPI assigned
- Oct 26, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- LIFESPRING, INC
Authorized official
- Name
- Terry Stawar
- Title
- Ceo
- Phone
- (812) 206-1234
Other NPIs on the same Medicare enrollment 19
Corporate family (same tax ID) 34
Practitioners 4
-
Alan Hightower, PA
-
Kayla Teives, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040315000128 | IN | Part B Supplier - Clinic/Group Practice | 5294624508 |
Receives reassigned benefits from 66 practitioners 16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New Albany, IN; Paoli, IN; Rockport, IN; Salem, IN; Scottsburg, IN; Tell City, IN; Jeffersonville, IN; Madison, IN… |
| O20040805000332 | IN | Part B Supplier - Clinic/Group Practice | 5294624508 |
Receives reassigned benefits from 115 practitioners 19 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Dale, IN; Tell City, IN; Scottsburg, IN; Salem, IN; Rockport, IN; Paoli, IN; New Albany, IN; Madison, IN… |
National Provider Directory
- Tax ID family
- Lifespring Inc
- Part of
- Lifespring Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
523 N Main St
English, IN 47118-3699
Mailing address
523 N Main St
English, IN 47118-3699
Phone (812) 338-2756
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300018377 | Medicaid | IN |
Other providers in English, IN
- Stephanie Kaye Byerly
- Crawford County Auditor
- Genetta Ann Fancher
- Teresa J Faulkner
- Hook-Superx LLC
- Kris R Milner
- Sasha L. Newland
- Tamra Jean Preston
- Nadia Ramirez
- Katie Schwartz
All providers in English, IN · Community/Behavioral Health Agency in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.