Organization Active NPI

Life Styles Inc.

  • Case Management Agency
  • Fayetteville, AR
National Provider Identifier
1104895820
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LIFE STYLES INC.
Practice address
2471 W Sycamore St
Fayetteville, AR 72703-1140
Phone
(479) 521-3581
Fax
(479) 695-1778
NPI assigned
Mar 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Mrs. Sherry L Anderson
Title
Finance Director
Phone
(479) 521-3581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X AR Primary

Addresses

Primary practice location

2471 W Sycamore St
Fayetteville, AR 72703-1140

Mailing address

2471 W Sycamore St
Fayetteville, AR 72703-1140
Phone (479) 521-3581

Other identifiers 7

IdentifierTypeStateIssuer
133281724MedicaidAR
160536771MedicaidAR
118466715MedicaidAR
129639774MedicaidAR
125864767MedicaidAR
126145775MedicaidAR
121248732MedicaidAR

National Provider Directory

National Provider Directory

Locations

2471 W Sycamore St
Fayetteville, AR 72703
Phone (479) 521-3581

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1104895820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 W SYCAMORE ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031140",
            "telephone_number": "479-521-3581",
            "fax_number": "479-695-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2471 W SYCAMORE ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727031140",
            "telephone_number": "479-521-3581",
            "fax_number": "479-695-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE STYLES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "479-521-3581",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133281724",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160536771",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118466715",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129639774",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125864767",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126145775",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121248732",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.