Active NPI
Live Center Inc
- Developmentally Disabled Services Day Training Agency
- Lemmon, SD
National Provider Identifier
1184779704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- License
- 0180090
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0180090 | Medicaid | SD |
National Provider Directory
National Provider Directory- Tax ID family
- Live Center Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Lemmon, SD
- NPI 1699820845
-
dba Arrow Public Transit
- Non-emergency Medical Transport (VAN)
- Lemmon, SD
- NPI 1962557116
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
- Michelle L. Kennedy, MSW-CSW-QMHP
- Lemmon Area Medical Association (Five Counties Nursing Home)
- Lemmon Emt Association (Perkins County Ambulance)
- Lemmon School District 52-4
- Jason Lillich, CSW-PIP, QMHP
- Live Center Inc.
- Live Center Inc. (Arrow Public Transit)
- Joseph Loncarevich, PA
- Allan McGough, MSW-LCSW-QMHP
- Patrick Poitra, LPC, QMHP
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.