Organization Active NPI

The Life Center

  • Case Management Agency
  • Lander, WY
National Provider Identifier
1164749487
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
THE LIFE CENTER
Practice address
1440 Goodrich Dr
Lander, WY 82520-3810
Phone
(307) 349-1910
NPI assigned
Apr 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Authorized official

Name
Mary Palmer
Title
Co-Owner
Phone
(307) 349-1910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1440 Goodrich Dr
Lander, WY 82520-3810

Mailing address

1440 Goodrich Dr
Lander, WY 82520-3810
Phone (307) 349-1910

Other names 1

  • TLC-The Life Center Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272240000000",
    "number": "1164749487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 GOODRICH DR",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203810",
            "telephone_number": "307-349-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 GOODRICH DR",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203810",
            "telephone_number": "307-349-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIFE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2010-04-26",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "307-349-1910"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC-The Life Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lander, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; 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.