Life Care Premier Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LIFE CARE PREMIER SERVICES LLC

Practice address

16400 N 138TH LN
Surprise, AZ 85374-7031

Phone

(773) 606-7222

NPI assigned

Sep 28, 2020

Organization subpart

No

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

Authorized official

Name

Abby Richardson

Title

Health Care

Phone

(773) 606-7222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1164039723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 S LAKESHORE DR APT 3052",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 N 138TH LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747031",
            "telephone_number": "773-606-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE PREMIER SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "HEALTH CARE",
        "authorized_official_telephone_number": "773-606-7222"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmyn Lewis Lewis
• Nickole Marie Lewis
• Paige Leykam, APRN
• Derrick Liberty
• John Henry Martin Lico
• Lifestream Complete Senior Living at Sun Ridge Inc
• Vicky Lee Lightfoot, P.T.A.
• Susanna Lockwood Liljenstolpe, FNP
• Lilycare of Arizona LLC
• Kayleigh Lindsay, LPC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.