NPIMap

Organization Active NPI

Life Opportunities Inc

  • Mental Illness Community Based Residential Treatment Facility
  • Shannon, NC
National Provider Identifier
1114042033
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL-078-159 Issued in NC
Legal business name
LIFE OPPORTUNITIES INC
Practice address
46 Calvin Rd
Shannon, NC 28386-0448
Phone
(910) 359-0173
Fax
(910) 843-1295
NPI assigned
Mar 20, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Donald R McMillan
Title
President
Phone
(919) 302-8990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-078-159 NC Primary

Addresses

Primary practice location

46 Calvin Rd
Shannon, NC 28386-0448

Mailing address

PO Box 448
Shannon, NC 28386-0448
Phone (910) 843-1105

National Provider Directory

National Provider Directory
Tax ID family
Life Opportunities Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114042033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 448",
            "city": "SHANNON",
            "state": "NC",
            "postal_code": "283860448",
            "telephone_number": "910-843-1105",
            "fax_number": "910-843-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 CALVIN RD",
            "city": "SHANNON",
            "state": "NC",
            "postal_code": "283860448",
            "telephone_number": "910-359-0173",
            "fax_number": "910-843-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE OPPORTUNITIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-302-8990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-078-159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shannon, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.