Organization Active NPI

Life Abled LLC

  • In Home Supportive Care Agency
  • Red Bank, NJ
National Provider Identifier
1114169034
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
253E0000X- IN HOME S Issued in NJ
Legal business name
LIFE ABLED LLC
Practice address
125 Half Mile Rd
Suite 200
Red Bank, NJ 07701-6749
Phone
(732) 444-6333
Fax
(480) 393-5688
NPI assigned
Mar 25, 2009
Last updated
May 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Authorized official

Name
Mrs. Stacey J Wright
Title
Presidenr/Ceo
Phone
(732) 444-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 253E0000X- IN HOME S NJ Primary

Addresses

Primary practice location

125 Half Mile Rd
Suite 200
Red Bank, NJ 07701-6749

Mailing address

125 Half Mile Rd
Suite 200
Red Bank, NJ 07701-6749
Phone (732) 444-6333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1114169034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HALF MILE RD",
            "address_2": "SUITE 200",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016749",
            "telephone_number": "732-444-6333",
            "fax_number": "480-393-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 HALF MILE RD",
            "address_2": "SUITE 200",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077016749",
            "telephone_number": "732-444-6333",
            "fax_number": "480-393-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ABLED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENR/CEO",
        "authorized_official_telephone_number": "732-444-6333",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NJ",
            "license": "253E0000X- IN HOME S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.