Organization Active NPI

Live Center Inc

  • Developmentally Disabled Services Day Training Agency
  • Lemmon, SD
National Provider Identifier
1184779704
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
0180090 Issued in SD
Legal business name
LIVE CENTER INC
Practice address
407 2ND Ave W
Lemmon, SD 57638-1405
Phone
(605) 374-3742
Fax
(605) 374-3238
NPI assigned
Jan 24, 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
Connie L. Bootz
Title
Business Manager
Phone
(605) 374-3742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 0180090 SD Primary

Addresses

Primary practice location

407 2ND Ave W
Lemmon, SD 57638-1405

Mailing address

407 2ND Ave W
P.O. Box 59
Lemmon, SD 57638-1405
Phone (605) 374-3742

Other identifiers 1

IdentifierTypeStateIssuer
0180090MedicaidSD

National Provider Directory

National Provider Directory
Tax ID family
Live Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

407 2nd Ave W
Lemmon, SD 57638
Phone (605) 374-3189

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184779704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 2ND AVE W",
            "address_2": "P.O. BOX 59",
            "city": "LEMMON",
            "state": "SD",
            "postal_code": "576381405",
            "telephone_number": "605-374-3742",
            "fax_number": "605-374-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 2ND AVE W",
            "city": "LEMMON",
            "state": "SD",
            "postal_code": "576381405",
            "telephone_number": "605-374-3742",
            "fax_number": "605-374-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOOTZ",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "605-374-3742"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "SD",
            "license": "0180090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180090",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemmon, SD

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.