Lifting Individuals and Families for Eternity, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

LIFTING INDIVIDUALS AND FAMILIES FOR ETERNITY, INC

Practice address

840 Edgewood Ave S Ste 203
Jacksonville, FL 32205-0813

Phone

(407) 758-0901

NPI assigned

Dec 10, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Chrystal Brown

Title

Owner/Operator

Phone

(407) 758-0901

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1184969636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 EDGEWOOD AVE S STE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322050813",
            "telephone_number": "407-758-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 EDGEWOOD AVE S STE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322050813",
            "telephone_number": "407-758-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFTING INDIVIDUALS AND FAMILIES FOR ETERNITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-10",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHRYSTAL",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "407-758-0901",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.